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Comprehensive Test Bank for Medical-Surgical Nursing - Concepts for Interprofessional Collaborative Care, 11th Edition by Ignatavicius All Chapters 2024 Edition$11.49
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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
Book Title:
Medical-Surgical Nursing
Author(s):
Donna D. Ignatavicius, M. Linda Workman, Cherie Rebar
Edition:
Unknown
ISBN:...
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.
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.
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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
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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.
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.
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