IGNATAVICIUS MEDICAL SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL
COLLABORATIVE CARE 10TH EDITION BY DONNA D. IGNATAVICIUS ALL CHAPTERS 1 - 69
, 2|P age
TEST BANK FOR IGNATAVICIUS MEDICAL SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL
COLLABORATIVE CARE 10TH EDITION BY DONNA D. IGNATAVICIUS
Table Of Contents
Section I: Concepts of Medical-Surgical Nursing
1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
2. From Clinical Judgment to Systems Thinking NEW!
3. Overview of Health Concepts for Medical-Surgical Nursing
4. Common Health Problems of Older Adults
5. Assessment and Concepts of Care for Patients with Pain
6. Concepts of Genetics and Genomics
7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
8. Care of Patients at End-of-Life
9. Care of Perioperative Patients
Section II: Concepts of Emergency Care and Disaster Preparedness
10. Concepts of Emergency and Trauma Nursing
11. Care of Patients with Common Environmental Emergencies
12. Concepts of Disaster Preparedness
Section III: Concepts of Patients with Problems of Fluid, Electrolyte, and Acid-
Base Balance
13. Concepts of Fluid and Electrolyte Balance
14. Concepts of Acid-Base Balance
15. Concepts of Infusion Therapy
Section V: Interprofessional Collaboration for Patients with Problems of Immunity
16. Concepts of Inflammation and Immunity
17. Care of Patients with HIV Disease
18. Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
19. Concepts of Cancer Development
20. Care of Patients with Cancer
21. Care of Patients with Infection
Section VI: Interprofessional Collaboration for Patients with Problems of the Skin,
Hair, and Nails
22. Assessment of the Skin, Hair, and Nails
23. Care of Patients with Skin Problems
Section VII: Interprofessional Collaboration for Patients with Problems of the
Respiratory System
24. Assessment of the Respiratory System
25. Care of Patients Requiring Oxygen Therapy or Tracheostomy
26. Care of Patients with Noninfectious Upper Respiratory Problems
27. Care of Patients with Noninfectious Lower Respiratory Problems
28. Care of Patients with Infectious Respiratory Problems
29. Critical Care of Patients with Respiratory Emergencies
Section VIII: Interprofessional Collaboration for Patients with Problems of the
Cardiovascular System
30. Assessment of the Cardiovascular System
,3|P age
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The
preceptor advises the new nurse that which is the priority when working as a
professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Answer: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY:
Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit.
What information does the nurse provide to best 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.
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 safety partner is the most critical. The
other actions are very limited in scope and do not provide the broad protection that being
active and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning KEY: Client safety
, 4|P age
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would
the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
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 would call the RRT. Changes in blood pressure,
mental status, heart rate, temperature, oxygen saturation, and last 2 hours9 urine output are
particularly significant and are part of the Modified Early Warning System guide.
Documentation is vital, but the nurse must do more than document. The primary health care
provider would be notified, but this is not more important than calling the RRT. The client9s
blood pressure would be reassessed frequently, but the priority is getting the rapid care to
the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 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 client9s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
Answer: A
Showing respect for the client and family9s preferences and needs is essential to ensure a
holistic or <whole-person= approach to care. By assessing the effect of the client9s culture on
health care, this nurse is practicing client-focused care. Providing for basic needs does not
COLLABORATIVE CARE 10TH EDITION BY DONNA D. IGNATAVICIUS ALL CHAPTERS 1 - 69
, 2|P age
TEST BANK FOR IGNATAVICIUS MEDICAL SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL
COLLABORATIVE CARE 10TH EDITION BY DONNA D. IGNATAVICIUS
Table Of Contents
Section I: Concepts of Medical-Surgical Nursing
1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
2. From Clinical Judgment to Systems Thinking NEW!
3. Overview of Health Concepts for Medical-Surgical Nursing
4. Common Health Problems of Older Adults
5. Assessment and Concepts of Care for Patients with Pain
6. Concepts of Genetics and Genomics
7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
8. Care of Patients at End-of-Life
9. Care of Perioperative Patients
Section II: Concepts of Emergency Care and Disaster Preparedness
10. Concepts of Emergency and Trauma Nursing
11. Care of Patients with Common Environmental Emergencies
12. Concepts of Disaster Preparedness
Section III: Concepts of Patients with Problems of Fluid, Electrolyte, and Acid-
Base Balance
13. Concepts of Fluid and Electrolyte Balance
14. Concepts of Acid-Base Balance
15. Concepts of Infusion Therapy
Section V: Interprofessional Collaboration for Patients with Problems of Immunity
16. Concepts of Inflammation and Immunity
17. Care of Patients with HIV Disease
18. Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
19. Concepts of Cancer Development
20. Care of Patients with Cancer
21. Care of Patients with Infection
Section VI: Interprofessional Collaboration for Patients with Problems of the Skin,
Hair, and Nails
22. Assessment of the Skin, Hair, and Nails
23. Care of Patients with Skin Problems
Section VII: Interprofessional Collaboration for Patients with Problems of the
Respiratory System
24. Assessment of the Respiratory System
25. Care of Patients Requiring Oxygen Therapy or Tracheostomy
26. Care of Patients with Noninfectious Upper Respiratory Problems
27. Care of Patients with Noninfectious Lower Respiratory Problems
28. Care of Patients with Infectious Respiratory Problems
29. Critical Care of Patients with Respiratory Emergencies
Section VIII: Interprofessional Collaboration for Patients with Problems of the
Cardiovascular System
30. Assessment of the Cardiovascular System
,3|P age
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The
preceptor advises the new nurse that which is the priority when working as a
professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Answer: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY:
Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit.
What information does the nurse provide to best 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.
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 safety partner is the most critical. The
other actions are very limited in scope and do not provide the broad protection that being
active and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning KEY: Client safety
, 4|P age
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would
the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
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 would call the RRT. Changes in blood pressure,
mental status, heart rate, temperature, oxygen saturation, and last 2 hours9 urine output are
particularly significant and are part of the Modified Early Warning System guide.
Documentation is vital, but the nurse must do more than document. The primary health care
provider would be notified, but this is not more important than calling the RRT. The client9s
blood pressure would be reassessed frequently, but the priority is getting the rapid care to
the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 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 client9s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
Answer: A
Showing respect for the client and family9s preferences and needs is essential to ensure a
holistic or <whole-person= approach to care. By assessing the effect of the client9s culture on
health care, this nurse is practicing client-focused care. Providing for basic needs does not
