Test Bank Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th Edition Chapters 1-74 Full Complete Solutions.

Test Bank Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th Edition Chapters 1-74 Full Complete Solutions. Chapter 01: Overview of Professional Nursing Concepts for MedicSurgical Nursing MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action bdemonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensuresthat all the clients basic needs are met c. Tells the client and family about all upcoming tests d. Thoroughly orients the client and family to the room ANS: A Competency in client-focused care is demonstrated when the nurse focuses on communicompassion, client education, and empowerment. By assessing the effect of the cthis nurse is practicing client-focused care. Providing for basic needs does not dSimply telling the client about all upcoming tests is not providing empowering eand family to the room is an important safety measure, but not directly recare. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centeredcare| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity 2. A nurse is caring for a postoperative client on the surgicalunit. The cHg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isa. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primarycare provider. d. Repeat blood pressure measurement in 15 minutes. ANS: A The purposeof the Rapid Response Team (RRT) is to intervene when clients asuffer either respiratory or cardiac arrest. Since the client has manifested a significancall the RRT. Changes in blood pressure, mental status, heart rate, and pain aDocumentation is vital, but the nurse must do more than document. The primarycnotified, but this is not the priority over calling the RRT. The clients blood pfrequently, but the priority is getting the rapid care to the client. DIF: Applying/Application REF: 3 KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 3. A nurse is orienting a new client and family to the inpatient uhelp the client promote his or her own safety? a. Encourage the client and family to be active partners. b. Have the client monitorhand 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. ANS: A Each action could be important for the client or family to perform. Howeveractive in his or her health care as a partner is the most critical. The odo not provide the broad protection that being active and involved does. DIF: Understanding/Comprehension REF: 3 KEY: Patient safety Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 3 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 4. A new nurse is working with a preceptor on an inpatient mstudent 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 ANS: B All actions are appropriate for the professional nurse. However, ensuring client s98,000 deaths result each year from errors in hospital care, according to the 2000 InMany more clients have sufferedinjuries and less serious outcomes. Every nurse has the reguard the clients safety. DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: NursingProcess: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 5. A client is going to be admitted for a scheduled surgicalprocedurethe most important thing the client can do to protect against errors? a. Bring a list of all medications and what they are for. b. Keep the doctors phone number by the telephone. c. Make sure all providers wash hands before enteringthe room. d. Write down the name of each caregiver who comes in the room. ANS: A Medication errors are the most common type of health care mistake. The Jcampaign encourages clients to help ensure their safety. One recommendation is fomedications and why they take them. This will help prevent medication errors. DIF: Applying/Application REF: 4 KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 6. Which action by the nurse working with a client best demonstrates respect foa. Asks if the client has questions before signing a consent b. Gives the client accurate information when questioned c. Keeps the promises made to the client and family d. Treats the client fairly compared to other clients ANS: A Autonomy is self-determination. The client should make decisions regarding care. Wsignature on the consent form, assessing if the client still has questions isinformation the client cannot practice autonomy. Giving accurate information is practicingKeeping promises is upholding fidelity.Treating the client fairly is providingDIF: Applying/Application REF: 4 KEY: Autonomy| ethical principles MSC: Integrated Process: Caring NOT: Client Needs Category: Safe and Effective Care Environment: Management of C7. A student nurse asks the faculty to explain best practices when communicating wlesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What amost accurate? a. Avoid embarrassing the client by asking questions. b. Dont make assumptions about their health needs. c. Most LGBTQ people do not want to share information. Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 4 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| d. No differences exist in communicating with this population. ANS: B Many members of the LGBTQ community have faced discrimination from health creluctant to seek health care. The nurse should never make assumptions about the npopulation. Rather, respectful questions are appropriate. If approached with sensitivityhealth care need is more likely to answer honestly. DIF: Understanding/Comprehension REF: 4 KEY: LGBTQ| diversity MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Psychosocial Integrity 8. A nurse is calling the on-call physician about a client who had a his unrelieved by the prescribed narcoticpain medication. Which statement is pcommunication? a. A: I would like you to order a different pain medication. b. B: This client has allergies to morphine and codeine. c. R: Dr. Smith doesnt like nonsteroidal anti-inflammatory meds. d. S: This client had a vaginal hysterectomy 2 days ago. ANS: B SBAR is a recommended form of communication,and the acronym stands for SAssessment, and Recommendation. Appropriate background information includes allergies on-call physician might order. Situation describes what is happening right now thclients surgery 2 days ago would be considered background. Assessment would include aclients problem; asking for a different pain medication is a recommendation. of what is needed or what outcome is desired;this information about the suplaced in background. DIF: Applying/Application REF: 5 KEY: SBAR| communication MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of C9. A nurse working on a cardiac unit delegated taking vital signs to apersonnel (UAP). Four hours later, the nurse notes the clients blood pressure is mreadings, and the clients mental status has changed. What action by the nurse wprevented this negative outcome? a. Determining if the UAP knew how to take blood pressure b. Double-checking the UAP by taking another blood pressure c. Providing more appropriate supervision of the UAP d. Taking the blood pressure instead of delegating the task ANS: C Supervision is one of the five rights of delegation and includes directing,delegated tasks. The nurse should either have asked the UAP about the vital signs oreport them right away. An experienced UAP should know how to take vital signs ahave to assess this at this point. Double-checking the work defeats the purpose owithin the scope of practice for a UAP and are permissible to delegate. Tnurse did not provide adequate instruction to the UAP. DIF: Applying/Application REF: 6 KEY: Supervision| delegation| unlicensed assistive personnel MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of C10. A nurse is talking with a client who is moving to a new state athere. What advice by the nurse is best? Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 5 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| a. Ask the hospitals there about standard nurse-client ratios. b. Choose the hospitalthat has the newest technology. c. Find a hospitalthat is accredited by The Joint Commission. d. Use a facility affiliated with a medicalor nursing school. ANS: C Accreditation by The Joint Commission (TJC) or other accrediting body gives assurancefocus on safety. Nurse-client ratios differ by unit type and change over time. New tenecessarily mean the hospitalis safe. Affiliation with a health professions school hsafety is most important. DIF: Understanding/Comprehension REF: 2 KEY: The Joint Commission (TJC)| accreditation MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 11. A newly graduated nurse in the hospitalstates that, since she is so nimprovement (QI) projects. What response by the precepting nurse is best? a. All staff nurses are required to participate in quality improvement here. b. Even being new, you can implement activities designed to improve cc. Its easy to identify what indicators should be used to measure quality. d. You should ask to be assigned to the research and quality committeANS: B The preceptor should try to reassurethe nurse that implementing QI measures islicensednurse. Simply stating that all nurses are required to participate does not hthat is possibleand is dismissive. Identifying indicators of quality is not abe the best place to suggest a new nurse to start. Asking to be assigned nurse information about how to implement QI in daily practice. DIF: Applying/Application REF: 6 KEY: Quality improvement MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of CMULTIPLE RESPONSE 1. A nurse is interested in making interdisciplinarywork a high priority.Which ademonstrate this skill? (Select all that apply.) a. Consults with other disciplines on client care b. Coordinates discharge planning for home safety c. Participates in comprehensive client rounding d. Routinely asks other disciplines about client progress e. Shows the nursing care plans to other disciplines ANS: A, B, C, D Collaborating with the interdisciplinaryteam involves planning, implementing, and evaluatingteam with all other disciplines included. Simply showing other caregivers the ninvolving them or collaborating with them. DIF: Applying/Application REF: 4 KEY: Collaboration| interdisciplinaryteam MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Safe and Effective Care Environment: Management of C2. A nurse manager wishes to ensure that the nurses on the unit are pcompetency. Which areas should the manager assess to determine if the nursing staccording to the Instituteof Medicine (IOM) report Health Professions Education: A(Select all that apply.) Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 6 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| a. Collaborating with an interdisciplinaryteam b. Implementing evidence-based care c. Providing family-focused care d. Routinely using informatics in practice e. Using quality improvement in client care ANS: A, B, D, E The IOM report lists five broad core competencies that all health care providers shcollaborating with the interdisciplinaryteam, implementing evidence-based practice, providing ccare, using informatics in client care, and using quality improvement in client care. DIF: Remembering/Knowledge REF: 3 KEY: Competencies| Instituteof Medicine (IOM) MSC: Integrated Process: NursingProcess: Assessment NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 3. The nurse utilizing evidence-based practice (EBP) considers which factors when planning that apply.) a. Cost-saving measures b. Nurses expertise c. Client preferences d. Research findings e. Values of the client ANS: B, C, D, E EBP consistsof utilizing current evidence, the clients values and preferences, and thplanning care. It does not include cost-saving measures. DIF: Remembering/Knowledge REF: 6 KEY: Evidence-based practice (EBP) MSC: Integrated Process: NursingProcess: Planning NOT: Client Needs Category: Safe and Effective Care Environment: Management of C4. A nurse manager wants to improve hand-off communication among the stwould best help achieve this goal? (Select all that apply.) a. Attend hand-off rounds to coach and mentor. b. Conduct audits of staff using a new template. c. Create a template of topics to include in report. d. Encourage staff to ask questions during hand-off. e. Give raises based on compliance with reporting. ANS: A, B, C, D A good tool for standardizing hand-off reports and other critical communication is thstands for standardize critical information, hardwire within your system, allow opportunities toreinforce quality and measurement, and educate and coach. Attending hand-off report gopportunities to educate and coach. Conducting audits is part of reinforcing quality. Chardwiring within the system. Encouraging staff to ask questions and think critically allowing opportunities to ask questions. The manager may need to tie raresistive and other measures have failed, but this is not part of the SDIF: Applying/Application REF: 5 KEY: SHARE| hand-off communication MSC: Integrated Process: NursingProcess: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Management of CTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional 7 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| Chapter 02: Overview of Health Concepts for Medical-Surgical NMULTIPLE CHOICE 1. Acid-base balance occurs when the pH level of the blood is between: a. 7.3 and 7.5 b. 7.35 and 7.45 c. 7.4 and 7.5 d. 7.25 and 7.35 ANS: B Acid-base balance is the maintenance of arterial blood pH between 7.35 and 7production and elimination. DIF: Understanding/Comprehension REF: 13 KEY: Assessment MSC: Physiological Adaptation | Fluid and Electrolyte Imbalances NOT: Describe common fluid, electrolyte, and acid-base imbalances. 2. The nurse would expect a patient with respiratory acidosisto have an excessivea. Hydrogen ions. b. Bicarbonate. c. Oxygen. d. Phosphate. ANS: A Respiratory acidosisoccurs when the arterial blood pH level falls below 7.35 and is chydrogen ions in the body (respiratory acidosis) or too little bicarbonate (moxygen and phosphate are not characteristic of respiratory acidosis. DIF: Understanding/Comprehension REF: 13 KEY: Assessment MSC: Physiological Adaptation | Fluid and Electrolyte Imbalances NOT: Describe common fluid, electrolyte, and acid-base imbalances. 3. The best way for an individual to maintain acid-base balance is toa. avoid or quit smoking. b. exerciseregularly. c. eat healthy and well-balanced meals. d. All of the above. ANS: D Maintaining a healthy lifestyleis the best way to maintain acid-base balance. COPD can be prevented by avoiding or quitting smoking, while regular exerciseadecrease the incidence of type-2 diabetes. DIF: Patient education REF: 14 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 4. The process to control cellular growth, replication, and differentiation to maintain ha. cellular regulation. b. cellular impairment. c. cellular reproduction. d. cellular tumor. ANS: A CellularRegulation is the term used to describe both the positive and negative Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 8 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| within the body. DIF: Understanding/Comprehension REF: 14 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 5. A defining characteristic of malignant (cancerous) cells is: a. they cannot spread to other tissues or organs. b. they can invade healthy cells, tissues, and organs. c. they are not usually a health risk. d. none of the above. ANS: B Malignant (cancerous) cells have no comparison to the original cells from which thhave the ability to invade healthy cells, tissues, and other organs through tumor formation aother hand, Benign cells do not have the ability to spread to other tissues or oDIF: Understanding/Comprehension REF: 14 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 6. Specialized cells that circulate in the body to promote clotting are ca. anticoagulants. b. proteins. c. emboli. d. platelets. ANS: D Clottingis a complex, multi-step process through which blood forms a protein-based cbleeding. Platelets (thrombocytes) are the specialized cells that circulate in thinjury occurs. Once activated, these cells become sticky, causing them to clump togetherto folocalized, solid plug. DIF: Understanding/Comprehension REF: 15 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 7. An increasein platelet stickiness can lead to: a. hypercoagulability b. thromobocytopenia c. embolus d. atrial fibrillation ANS: A Hypercoagulability refers to an increasein clotting ability caused by an excess of pstickiness, which can impair blood flow. The opposite end of the spectrum inadequate clots, which often occurs when there is an inadequate number of circulatinplatelet stickiness. DIF: Understanding/Comprehension REF: 15 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 8. Signs and symptoms of ________ thromobsis include localized redness,swelling, a. arterial Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 9 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| b. venous c. partial d. atrial ANS: B Venous thrombosis is a clot formation in either superficial or deep veins, uobserved locally. DIF: Understanding/Comprehension REF: 16 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 9. A serious condition which is not locally observable and is typically mdistal extremity is known as __________ thrombosis. a. arterial b. venous c. partial d. atrial ANS: A Arterial thrombosis is manifested by decreased blood flow (perfusion) to a dFor example, the distal leg can become pale and cool in the case of ablood to the leg. This is an emergent condition and requiresimmediate inDIF: Understanding/Comprehension REF: 16 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 10. A high-level thinking process that allows an individual to make decisionsa. amnesia b. personality c. reasoning d. memory ANS: C Reasoning is the high-level cognitive thinking process that helps individuals mPersonality is the way an individual feels and behaves, while Memory isand recall information. Amnesia refers to a loss of memory caused by bacute health problems. DIF: Understanding/Comprehension REF: 16 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Psychosocial Integrity 11. A form of inadequate cognition in older adults which is manifested bstate is known as: a. dementia b. delerium c. amnesia d. depression ANS: B Delerium is the form of acute, fluctuating confusion which lasts from a femay be treatable. Dementia is a chronic state of confusion that may lathat may not be reversible. Amnesia refers to a loss of memory cor acute health problems. Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 10 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| DIF: Understanding/Comprehension REF: 16 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Psychosocial Integrity 12. The most common causes of decreased comfortfor a patient are pain aa. light-headedness b. nausea c. emotional stress d. depression ANS: C Pain and emotional stress are the two leading causes of discomfort for a phaving surgery are often anxious and feel stressedabout the procedure. This emotional stimpact the outcome of surgery. DIF: Understanding/Comprehension REF: 17 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment 13. The inability to pass stool is known as ____________. a. constipation b. obstipation c. diarrhea d. incontinence ANS: B Obstipation is the inability to pass stool during bowel elimination. Constipation restool can be hard, dry, and difficultto pass through the rectum. Diarrhea is acontinuum from constipation, and occurs when stool is watery and without solid form. Egeneral term to describe the excretion of waste from the body by the gsystem. DIF: Understanding/Comprehension REF: 18 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 14. Hypokalemia can occur in patients with prolonged diarrheaand is caused by aa. calcium b. magnesium c. sodium d. potassium ANS: D Hypokalemia occurs when there is a decrease in serum potassium. It can bbecause it often causes rhythm abnormalities. An excess of potassium is referredto aDIF: Understanding/Comprehension REF: 18 KEY: Assessment MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Health Promotion and Maintenance 15. The minimum hourly urinary output in a patient should be at least: a. 5 mL per hour b. 10 mL per hour c. 30 mL per hour d. 60 mL per hour Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional 11 CollaboraDownloaded by Katelin Marsala () lOMoARcPSD| ANS: C 30 mL per hour is the minimum hourly urinary output in a normal healthy aa sign of diminished kidney activity and fluid deficit.