Full Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition by Ignatavicius & Workman – All Chapters Included

TEST BANKV



V Medical-SurgicalVNursing:VConceptsVforVClinicalVJudgmentVand
V V CollaborativeVCareV10thVEdition.




FULL TEST BANK!!!
V V

,ChapterV01:VOverviewVofVProfessionalVNursingVConceptsVforVMedical-
SurgicalVNursingVIgnatavicius:VMedical-SurgicalVNursing,V10thVEdition


MULTIPLEVCHOICE

1. AVnewVnurseVisVworkingVwithVaVpreceptorVonVaVmedical-
surgicalVunit.VTheVpreceptorVadvisesVtheVnewVnurseVthatVwhichVisVtheVpriorityVwhenVwo
rkingVasVaVprofessionalVnurse?
a. AttendingVtoVholisticVclientVneeds
b. EnsuringVclientVsafety
c. NotVmakingVmedicationVerrors
d. ProvidingVclient-focusedVcare

ANS:V B
AllVactionsVareVappropriateVforVtheVprofessionalVnurse.VHowever,VensuringVclientVsafety
VisVtheVpriority.VHealthVcareVerrorsVhaveVbeenVwidelyVreportedVforV25Vyears,VmanyVofV
whichVresultVinVclientVinjury,Vdeath,VandVincreasedVhealthVcareVcosts.VThereVareVsevera
lVnationalVandVinternationalVorganizationsVthatVhaveVeitherVrecommendedVorVmandatedV
safetyVinitiatives.
EveryVnurseVhasVtheVresponsibilityVtoVguardVtheVclient‘sVsafety.VTheVotherVactionsVareVi
mportantVforVqualityVnursing,VbutVtheyVareVnotVasVvitalVasVprovidingVsafety.VNotVmaking
VmedicationVerrorsVdoesVprovideVsafety,VbutVisVtooVnarrowVinVscopeVtoVbeVtheVbestVansw
er.

DIF: Understanding
TOP:VIntegratedVProcess:VNursingVProcess:VInterventionVKEY:VClientVsafety
MSC:VClientVNeedsVCategory:VSafeVandVEffectiveVCareVEnvironment:VSafetyVandVInfectionVContro
l

2. AVnurseVisVorientingVaVnewVclientVandVfamilyVtoVtheVmedical-
surgicalVunit.VWhatVinformationVdoesVtheVnurseVprovideVtoVbestVhelpVtheVclientVprom
oteVhisVorVherVownVsafety?
a. EncourageVtheVclientVandVfamilyVtoVbeVactiveVpartners.
b. HaveVtheVclientVmonitorVhandVhygieneVinVcaregivers.
c. OfferVtheVfamilyVtheVopportunityVtoVstayVwithVtheVclient.
d. TellVtheVclientVtoValwaysVwearVhisVorVherVarmband.

ANS:V A
EachVactionVcouldVbeVimportantVforVtheVclientVorVfamilyVtoVperform.VHowever,Vencouragi
ngVtheVclientVtoVbeVactiveVinVhisVorVherVhealthVcareVasVaVsafetyVpartnerVisVtheVmostVcriti
cal.VTheVotherVactionsVareVveryVlimitedVinVscopeVandVdoVnotVprovideVtheVbroadVprotection
VthatVbeingVactiveVandVinvolvedVdoes.


DIF: Understanding
TOP:VIntegratedVProcess:VTeaching/LearningVKEY:VClientVsafety
MSC:VClientVNeedsVCategory:VSafeVandVEffectiveVCareVEnvironment:VSafetyVandVInfectionVContro
l

3. AVnurseVisVcaringVforVaVpostoperativeVclientVonVtheVsurgicalVunit.VTheVclient‘sVbloodV
pressureVwasV142/76VmmVHgV30VminutesVago,VandVnowVisV88/50VmmVHg.VWhatVactio

,nVwouldVtheVnurseVtakeVfirst?
a. CallVtheVRapidVResponseVTeam.
b. DocumentVandVcontinueVtoVmonitor.
c. NotifyVtheVprimaryVhealthVcareVprovider.

, d. RepeatVtheVbloodVpressureVinV15Vminutes.
ANS:V A
TheVpurposeVofVtheVRapidVResponseVTeamV(RRT)VisVtoVinterveneVwhenVclientsVareVdeter
ioratingVbeforeVtheyVsufferVeitherVrespiratoryVorVcardiacVarrest.VSinceVtheVclientVhasVman
ifestedVaVsignificantVchange,VtheVnurseVwouldVcallVtheVRRT.VChangesVinVbloodVpressure,
VmentalVstatus,VheartVrate,Vtemperature,VoxygenVsaturation,VandVlastV2Vhours‘VurineVoutp
utVareVparticularlyVsignificantVandVareVpartVofVtheVModifiedVEarlyVWarningVSystemVguid
e.VDocumentationVisVvital,VbutVtheVnurseVmustVdoVmoreVthanVdocument.VTheVprimaryVhe
althVcareVproviderVwouldVbeVnotified,VbutVthisVisVnotVmoreVimportantVthanVcallingVtheVR
RT.VTheVclient‘sVbloodVpressurewouldVbeVreassessedVfrequently,VbutVtheVpriorityVisVgetti
ngVtheVrapidVcareVtoVthe
client.

DIF: Applying
TOP:VIntegratedVProcess:VCommunicationVandVDocumentationVKEY:VRa
pidVResponseVTeamV(RRT),VClinicalVjudgment
MSC:V ClientVNeedsVCategory:VPhysiologicalVIntegrity:VPhysiologicalVAdaptation

4. AVnurseVwishesVtoVprovideVclient-
centeredVcareVinVallVinteractions.VWhichVactionVbyVtheVnurse
bestVdemonstratesVthisVconcept?
a. AssessesVforVculturalVinfluencesVaffectingVhealthVcare.
b. EnsuresVthatVallVtheVclient‘sVbasicVneedsVareVmet.
c. TellsVtheVclientVandVfamilyVaboutVallVupcomingVtests.
d. ThoroughlyVorientsVtheVclientVandVfamilyVtoVtheVroom.

ANS:V A
ShowingVrespectVforVtheVclientVandVfamily‘sVpreferencesVandVneedsVisVessentialVtoVensur
eVaVholisticVorV―whole-
person‖VapproachVtoVcare.VByVassessingVtheVeffectVofVtheVclient‘sVcultureVonVhealthVcare,V
thisVnurseVisVpracticingVclient-
focusedVcare.VProvidingVforVbasicVneedsVdoesVnotVdemonstrateVthisVcompetence.VSimplyV
tellingVtheVclientVaboutVallVupcomingVtestsVisVnotVprovidingVempoweringVeducation.VOrie
ntingVtheVclientVandVfamilyVtoVtheVroomVisVanVimportantVsafetyVmeasure,VbutVnotVdirectl
yVrelatedVtoVdemonstratingVclient-centeredVcare.

DIF: Understanding
TOP:VIntegratedVProcess:VCultureVandVSpiritualityVKEY:V Client-
centeredVcare,VCulture
MSC:VClientVNeedsVCategory:VPsychosocialVIntegrity

5. AVclientVisVgoingVtoVbeVadmittedVforVaVscheduledVsurgicalVprocedure.VWhichVactionV
doesVtheVnurseVexplainVisVtheVmostVimportantVthingVtheVclientVcanVdoVtoVprotectVag
ainstVerrors?
a. BringVaVlistVofVallVmedicationsVandVwhatVtheyVareVfor.
b. KeepVtheVprovider‘sVphoneVnumberVbyVtheVtelephone.
c. MakeVsureVthatVallVprovidersVwashVhandsVbeforeVenteringVtheVroom.
d. WriteVdownVtheVnameVofVeachVcaregiverVwhoVcomesVinVtheVroom.

ANS:V A
MedicationVreconciliationVisVaVformalVprocessVinVwhichVtheVclient‘sVactualVcurrentVmedic