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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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MULTIPLE CHOICE xr
1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonst
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rates this concept? xr xr
a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met xr xr xr xr xr xr xr xr
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room xr xr xr xr xr xr xr xr
CORRECT ANS: A xr xr
Rationale: Competency in client- xr xr xr
focused care is demonstrated when the nurse focuses on communication, culture, respe
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ct compassion, client education, and empowerment. By assessing the effect of the client
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s culture on health care, this nurse is practicing client-
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xr focused care. Providing for basic needs does not demonstrate this competence. Simply t
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elling the client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not dire
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ctly related to demonstrating client-centered care.
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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r pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What acti
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on by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. xr xr xr xr
c. Notify the primary care provider. xr xr xr xr
d. Repeat blood pressure measurement in 15 minutes.
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CORRECT ANS: A xr xr
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene whe
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n clients are deteriorating before they suffer either respiratory or cardiac arrest. Since
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the client has manifested a significant change, the nurse should call the RRT. Changes i
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n blood pressure, mental status, heart rate, and pain are particularly significant.
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