Ignatavicius: Medical-Surgical Nursing, 10th Edition Tests Bundle Set

Which important aspect of coordinating care with the interdisciplinary team is facilitated by use of the "SBAR" and "PACE" procedures? A. Communication B. Implementation C. Policymaking D. Protocol development Answer A. Communication SBAR and PACE are acronyms for "hand-off" methods o...

1. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history. Which action is most important for the nurse to take when interviewing this client? a. Tell the client that he or she needs to quit smokin...

What is the priority medical-surgical concept for patients with noninfectious lower respiratory problems such as emphysema? a. perfusion b. gas exchange c. cellular regulation d. tissue integrity Answer b. gas exchange Which of the following are characteristics of chronic pulmonary emphysem...

1. A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional assessment finding should the nurse expect? a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min - Answer A (When a client experience...

ANS: B A T-score from a bone density scan at or lower than -2.5 indicates osteoporosis. The nurse would plan to teach about medications used to treat this disease, such as the bisphosphonates. A food diary is helpful to determine if the client gets adequate calcium and vitamin D, but at this point,...

Which are major risk factors for venous thromboembolism leading to pulmonary embolism? Select all that apply. a. Malnutrition b. Central venous catheters c. COPD d. Obesity e. Prolonged immobility f. Conditions that decrease blood clotting Answer b. Central venous catheters d. Obesity e. P...

1. The nurse learns that the most important function of inflammation and immunity is which purpose? a. Destroying bacteria before damage occurs b. Preventing any entry of foreign material c. Providing maximum protection against infection d. Regulating the process of self-tolerance Answer ANS...

1. An emergency department nurse assesses a client who has been raped. With which health care team member would the nurse collaborate when planning this client's care? a. Primary health care provider b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse Answer ANS: C All ...

The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Which outcome should the nurse teach the client is the goal of palliative surgery? a. Cure of the cancer b. Relief of symptoms or improved quality of life c. Allowin...

1. The nurse is caring for a client who had surgery 24 hours ago. He is alert and oriented when awakened and reports pain, but goes back to sleep when not being stimulated. He is on patient-controlled analgesia (PCA). What is the nurse's next action? a. Push the PCA control for the client. b. Dis...

1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? a. "Administer the prescribed tetanus toxoid vaccine." b. "Assess the client's wounds for signs of infectio...

A nurse prepares to teach a client who has experienced damage to the left temporal lobe of the brain. Which action should the nurse take when providing education about newly prescribed medications to this client? a. Help the client identify each medication by its color. b. Provide written material...

The nurse is providing preoperative care for a client who will have an arthroscopy of the left knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the nurse be required to do? A. Ensure that the correct procedure is noted in the client's history. B. Remind the ...

The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? A. Administer the prescribed tetanus toxoid vaccine. B. Assess the clients wounds for signs of infection. C. Enco...