10/31/23,m5:28mA Testmbankm-
M mmedicalmsurgicalmnursingm10thmeditionmignataviciusmworkman-bte…
Medicalm Surgicalm Nursingm 10thm EditionmIg
nataviciusmWorkmanmTestmBank
Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-
SurgicalmNursingmIgnatavicius:mMedical-SurgicalmNursing,m10thmEdition
MULTIPLEmCHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthem newmnursemthatmwhichmismthemprioritym
whenmworkingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientm
safetymismthem priority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25mye
ars,mmanymofmwhichmresultminm clientminjury,mdeath,mandmincreasedmhealthmcaremc
osts.mTheremaremseveralmnationalmandm internationalmorganizationsmthatmhavemeither
mrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermaction
smaremimportant
formqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingm
medicationmerrorsm doesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthem
bestmanswer.
DIF:m Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInter
ventionm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfecti
onmControl
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationm doesmthemnursemprovidemtombestmhelpmthemcli
entmpromotemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,m
encouragingmthem clientmtombemactiveminmhismormhermhealthmcaremasmamsafetympar
tnermismthemmostmcritical.mThemotherm actionsmaremverymlimitedminmscopemandmdo
mnotmprovidemthembroadmprotectionmthatmbeingmactivemandm involvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess:mTeaching/Lear
ningm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfecti
onmControl
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’
smbloodmpressurem wasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50m
mmmHg.mWhatmactionmwouldmthemnursem takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
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ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsm
aremdeterioratingm beforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemth
emclientmhasmmanifestedmam significantmchange,mthemnursemwouldmcallmthemRRT.m
Changesminmbloodmpressure,mmentalmstatus,m heartmrate,mtemperature,moxygenmsatura
tion,mandmlastm2mhours’murinemoutputmaremparticularlym significantmandmarempartmo
fmthemModifiedmEarlymWarningmSystemmguide.mDocumentationmismvital,m butmthem
nursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremprovidermwouldm
bem notified,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient’
smbloodmpressurem wouldmbemreassessedmfrequently,mbutmthemprioritymismgettingmth
emrapidmcaremtomthemclient.
DIF:m Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocume
ntationm KEY:mRapidmResponsemTeamm(RRT),mClinicalmjudgment
MSC: m Clientm Needsm Category:m Physiological m Integrity:m Physiologicalm Adaptation
4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmt
omensurema
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonm h
ealthmcare,mthismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotm demonstratemthismcompetence.
mSimplymtellingmthemclientmaboutmallmupcomingmtestsmismnotm providingmempoweri
ngmeducation.mOrientingmthemclientmandmfamilymtomthemroommismanmimportantm saf
etymmeasure,mbutmnotmdirectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritu
alitym KEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmI
ntegrity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhich
mactionmdoesmthem nursemexplainmismthemmostmimportantmthingmthemclientmcan
mdomtomprotectmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrent
mmedicationsm aremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmis
sion,mtransfer,mormdischarge.m ThismNationalmclientmSafetymGoalmismimportantmtomr
educemmedicationmerrors.mThemclientmwouldm notmhavemtombemresponsiblemformpro
vidersmwashingmtheirmhands,mandmevenmifmthemclientmdoesmso,
thismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeeping
mthemprovider’sm phonemnumbermnearbymandmdocumentingmeveryonemwhomentersmth
emroommalsomdomnotmguaranteem safety.
DIF:m Applying
TOP:m IntegratedmProcess:mTeaching/Lear
ningm KEY:mClientmsafety,mInformatics
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MSC:m Client surgicalmmSafe
mCategory:
mNeedsm nursing 10thmedition
mandmmEffectivemCaremmignatavicius
Environment: mworkman-bte…
mSafetymandmInfecti
onmControl
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M mmedicalmsurgicalmnursingm10thmeditionmignataviciusmworkman-bte…
Medicalm Surgicalm Nursingm 10thm EditionmIg
nataviciusmWorkmanmTestmBank
Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-
SurgicalmNursingmIgnatavicius:mMedical-SurgicalmNursing,m10thmEdition
MULTIPLEmCHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthem newmnursemthatmwhichmismthemprioritym
whenmworkingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientm
safetymismthem priority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25mye
ars,mmanymofmwhichmresultminm clientminjury,mdeath,mandmincreasedmhealthmcaremc
osts.mTheremaremseveralmnationalmandm internationalmorganizationsmthatmhavemeither
mrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermaction
smaremimportant
formqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingm
medicationmerrorsm doesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthem
bestmanswer.
DIF:m Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInter
ventionm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfecti
onmControl
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationm doesmthemnursemprovidemtombestmhelpmthemcli
entmpromotemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,m
encouragingmthem clientmtombemactiveminmhismormhermhealthmcaremasmamsafetympar
tnermismthemmostmcritical.mThemotherm actionsmaremverymlimitedminmscopemandmdo
mnotmprovidemthembroadmprotectionmthatmbeingmactivemandm involvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess:mTeaching/Lear
ningm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfecti
onmControl
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’
smbloodmpressurem wasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50m
mmmHg.mWhatmactionmwouldmthemnursem takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
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ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsm
aremdeterioratingm beforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemth
emclientmhasmmanifestedmam significantmchange,mthemnursemwouldmcallmthemRRT.m
Changesminmbloodmpressure,mmentalmstatus,m heartmrate,mtemperature,moxygenmsatura
tion,mandmlastm2mhours’murinemoutputmaremparticularlym significantmandmarempartmo
fmthemModifiedmEarlymWarningmSystemmguide.mDocumentationmismvital,m butmthem
nursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremprovidermwouldm
bem notified,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient’
smbloodmpressurem wouldmbemreassessedmfrequently,mbutmthemprioritymismgettingmth
emrapidmcaremtomthemclient.
DIF:m Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocume
ntationm KEY:mRapidmResponsemTeamm(RRT),mClinicalmjudgment
MSC: m Clientm Needsm Category:m Physiological m Integrity:m Physiologicalm Adaptation
4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmt
omensurema
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonm h
ealthmcare,mthismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotm demonstratemthismcompetence.
mSimplymtellingmthemclientmaboutmallmupcomingmtestsmismnotm providingmempoweri
ngmeducation.mOrientingmthemclientmandmfamilymtomthemroommismanmimportantm saf
etymmeasure,mbutmnotmdirectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritu
alitym KEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmI
ntegrity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhich
mactionmdoesmthem nursemexplainmismthemmostmimportantmthingmthemclientmcan
mdomtomprotectmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrent
mmedicationsm aremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmis
sion,mtransfer,mormdischarge.m ThismNationalmclientmSafetymGoalmismimportantmtomr
educemmedicationmerrors.mThemclientmwouldm notmhavemtombemresponsiblemformpro
vidersmwashingmtheirmhands,mandmevenmifmthemclientmdoesmso,
thismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeeping
mthemprovider’sm phonemnumbermnearbymandmdocumentingmeveryonemwhomentersmth
emroommalsomdomnotmguaranteem safety.
DIF:m Applying
TOP:m IntegratedmProcess:mTeaching/Lear
ningm KEY:mClientmsafety,mInformatics
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MSC:m Client surgicalmmSafe
mCategory:
mNeedsm nursing 10thmedition
mandmmEffectivemCaremmignatavicius
Environment: mworkman-bte…
mSafetymandmInfecti
onmControl
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