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Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
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,Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
CORRECT ANSWER: A
A nurse demonstrates competency in client-focused care when they prioritize communication, culture, respect,
compassion, client education, and empowerment. By assessing the effect of the client's culture on health care, this
nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling
the client about all upcoming tests is not providing empowering education.
Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
,Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
Orienting the client and family to the room is an important safety measure, but not directly related to demonstrating
client-centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm
Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
CORRECT ANSWER: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either
respiratory or cardiac arrest.
Since the client has manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do more than
just record. Notifying the primary care provider is important, but it should not take precedence over calling the RRT.
The client's blood pressure should be reassessed frequently, but the priority is getting rapid care for the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and
Documentation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
, Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the client to be active in his or
her health care as a partner is the most critical. The other actions are very limited in scope and do not provide the
broad protection that being active and involveddoes.
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises the
student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000
deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report. Many more
clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the clients safety.
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional
Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition
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