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Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu
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Exams El abora�i onsNNurs s4130/N urss 4130ssM edic alss Surgicals snursingss 9� hsedi�i onsigna�avici u




Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu
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Chap�er01:OverviewofProfessionalNursingConcep�sforMedical- s s s s s s s s




SurgicalNursing
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MULTIPLECHOICE s




1. Anursewishes�oprovideclien�- s s s s s




cen�eredcareinallin�erac�ions.Whichac�ionby�henursebes�demons�ra�es �his concep� s s s s s s s s s s s s s




?
a. Assessesforcul�uralinfluencesaffec�ingheal�hcare s s s s s s




b. Ensures�ha�all�he clien�s basic needs areme� s s s s s s s s




c. Tells�heclien�andfamilyabou�allupcoming�es�s s s s s s s s s




d. Thoroughlyorien�s�heclien�andfamily�o�he room s s s s s s s s




ANS:A s




Compe�ency in clien�- s s




focused care is demons�ra�edwhen �he nursefocuses on communica�ion, cul�ure, respec�compassion, clien
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�educa�ion, and empowermen�. By assessing �he effec�of �he clien�s cul�ure on heal�hcare,�hisnurseispr
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ac�icingclien�- s




focusedcare.Providingforbasicneedsdoesno�demons�ra�e�hiscompe�ence.Simply �elling�he clien�abo
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u�allupcoming�es�sis no�providing empowering educa�ion.
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Orien�ing�heclien�andfamily �o �heroom is animpor�an�safe�ymea s s s s s s s




sure,bu�no�direc�lyrela�ed�odemons�ra�ingclien�-cen�ered care.
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DIF:Unders�anding/ComprehensionREF:3 s s s




KEY:Pa�ien�- s




cen�eredcare|cul�ureMSC:In�egra�edProcess:CaringNOT:Clien� s s s s s s s s s




NeedsCa�egory:Psychosocial In�egri�y s s s




2. A nurse is caringfora pos�opera�ive clien�on �he surgicaluni�. The clien�s bloodpressurewas 142/76m
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mHg 30 minu�es ago,and now is 88/50 mmHg. Wha�ac�ion by �he nurse isbes�?
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a. Call�heRapidResponseTeam. s s s s




b. Documen�andcon�inue�omoni�or. s s s s




c. No�ify�heprimarycareprovider. s s s s




d. Repea�bloodpressuremeasuremen�in15minu�es. s s s s s s




ANS:A s




Thepurposeof�heRapidResponseTeam(RRT)is�oin�ervenewhenclien�sarede�eriora�ingbefore�heys
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ufferei�herrespira�oryorcardiacarres�. Since�heclien�hasmanifes�edasignifican�change, �henursesh s s




ould call�he RRT.Changes in blood pressure, men�als�a�us, hear�ra�e, and pain are par�icularly signific
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an�. Documen�a�ion is vi�al, bu��he nursemus�do more �han documen�. The primary care provide
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r should be no�ified, bu��his is no��he priori�y over calling �he RRT. The clien�s blood pressure should
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bereassessedfrequen�ly,bu��hepriori�yisge��ing�herapidcare�o�heclien�.
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DIF:Applying/Applica�ionREF:3 s s s




KEY:RapidResponse Team(RRT)| medicalemergenciesMSC: s s s s s s s s




In�egra�edProcess:Communica�ionandDocumen�a�ion s s s s




NOT:Clien�NeedsCa�egory:PhysiologicalIn�egri�y:PhysiologicalAdap�a�ion
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3. A nurse is orien�ing anew clien�andfamily �o �he inpa�ien�uni�. Wha�informa�ion does �he nur
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seprovide �o help �he clien�promo�e hisorher own safe�y?
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a. Encourage�heclien�andfamily�o beac�ivepar�ners. s s s s s s s s




b. Have�heclien�moni�orhandhygieneincaregivers. s s s s s s s




c. Offer�hefamily �heoppor�uni�y�o s�aywi�h�heclien�. s s s s s s s s s




d. Tell�heclien��oalwayswearhisorherarmband. s s s s s s s s s

,Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu


ANS:A s




Each ac�ion could be impor�an�for �he clien�or family �o perform. However, encouraging �he clien��o b
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eac�ive in his or her heal�h care as a par�ner is �he mos� cri�ical. The o�her ac�ions are very limi�ed in scop
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e anddono�provide �he broad pro�ec�ion �ha�being ac�ive andinvolveddoes.
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DIF:Unders�anding/Comprehension REF:3KEY: Pa�ie
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n�safe�y s




Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu
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,Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu
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S�uvia.com -The Marke�place �o Buy and Sell your S�udy Ma�erial s s s s s s s s s s




Tes�Bank - Medical-Surgical Nursing: Concep�s for In�erprofessional Collabora�ive Care 9e
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2


MSC:In�egra�edProcess:Teaching/Learnings s s




NOT:Clien�NeedsCa�egory:SafeandEffec�iveCareEnvironmen�:Safe�yandInfec�ionCon�rol
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4. A new nurse isworking wi�ha precep�or on an inpa�ien�medical-
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surgicaluni�. The precep�or advises�he s�uden��ha�whichis �he priori�ywhenworking asa professio
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nalnurse?
a. A��ending �oholis�icclien�needs s s s s




b. Ensuringclien�safe�y s s




c. No�makingmedica�ion errors s s s




d. Providing clien�-focusedcare s s




ANS:B s




Allac�ionsareappropria�efor�heprofessionalnurse.However,ensuringclien�safe�yis�hepriori�y.Up�o9
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8,000 dea�hs resul�each year fromerrors in hospi�alcare, according �o �he 2000 Ins�i�u�e of Medicine repor
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�. Many more clien�s have suffered injuries and less serious ou�comes. Every nursehas �he responsibili�y �o g
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uard �heclien�s safe�y.
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DIF:Unders�anding/Comprehension REF:2
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KEY:Pa�ien�safe�y s s




MSC:In�egra�edProcess:NursingProcess:In�erven�ion
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NOT:Clien�NeedsCa�egory:SafeandEffec�iveCareEnvironmen�:Safe�yandInfec�ionCon�rol
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5. Aclien�isgoing�obeadmi��edforascheduledsurgicalprocedure.Whichac�iondoes�henursee
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xplain is �he mos�impor�an��hing �he clien�cando�o pro�ec�agains�errors?
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a. Bringalis�ofallmedica�ionsandwha��heyarefor. s s s s s s s s s s




b. Keep�he doc�ors phonenumber by �he�elephone. s s s s s s s




c. Makesureallproviderswashhandsbeforeen�ering �heroom. s s s s s s s s s




d. Wri�edown�henameofeachcaregiverwhocomesin�heroom. s s s s s s s s s s s




ANS:A s




Medica�ion errors are �hemos�common �ype of heal�h care mis�ake. The Join� Commissions SpeakUp cam s s s s s s s s s s s s s s s s




paignencouragesclien�s�ohelpensure�heirsafe�y.Onerecommenda�ionisforclien�s�oknow all�heirme
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dica�ions andwhy�hey �ake �hem. This willhelp preven�medica�ion errors. s s s s s s s s s s s




DIF:Applying/Applica�ionREF:4
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KEY:SpeakUpcampaign|pa�ien�safe�yMSC:In�egra�edProcess:Teaching/Learning
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NOT:Clien�NeedsCa�egory:SafeandEffec�iveCareEnvironmen�:Safe�yandInfec�ionCon�rol
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6. Whichac�ionby�henurseworking wi�haclien�bes�demons�ra�esrespec�forau�onomy? s s s s s s s s s s s s s




a. Asks if �heclien�hasques�ionsbeforesigningaconsen�
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b. Gives�heclien�accura�einforma�ionwhenques�ioned s s s s s s




c. Keeps�he promises made�o�he clien�andfamily s s s s s s s s




d. Trea�s�heclien�fairlycompared�oo�herclien�s s s s s s s s




ANS:A s




Au�onomyisself- s s




de�ermina�ion.Theclien�shouldmakedecisionsregardingcare.When�henurseob�ainsasigna�ure on �he c s s s s s s s s s s s s s s




onsen�form, assessing if �he clien�s�ill has ques�ions is vi�al, becausewi�hou� full informa�ion �he clien�
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canno�prac�ice au�onomy. Giving accura�e informa�ion is prac�icingwi�h veraci�y. Keeping promises isu
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pholdingfideli�y.Trea�ing�he clien�fairlyis providingsocialjus�ice. s s s s s s s s s




DIF:Applying/Applica�ionREF:4
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KEY:Au�onomy|e�hicalprinciplesMSC:In�egra�edProcess:Caring
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NOT:Clien�NeedsCa�egory:SafeandEffec�iveCareEnvironmen�:Managemen�ofCare
s s s s s s s s s s s

, Exam Elabora�ions Nurs 4130 Nurs 4130 Medical Surgical nursing 9�h edi�ion igna�aviciu

7. A s�uden�nurse asks �he facul�y �o explain bes�prac�iceswhen communica�ingwi�h a person from�h
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e lesbian,gay,bisexual,�ransgender,andqueer/ques�ioning(LGBTQ)communi�y.Wha�answerby�hefacu
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l�yis mos�accura�e?
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a. Avoidembarrassing�heclien�byaskingques�ions.
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b. Don�makeassump�ions abou��heir heal�hneeds.
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c. Mos�LGBTQpeopledono�wan��oshareinforma�ion.
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