Nursing Concepts for Medical- Surgical Nursing
Which important aspect of coordinating care within the interdisciplinary team is facilitated by use
of the "SBAR" and "PACE" procedures?
A. Communication
B. Implementation
C. Policymaking
D. Protocol development - ANSA. Communication
SBAR and PACE are acronyms for "hand-off" methods of communication used by health care
organizations to share information between shifts and between departments
Bedside computers are an example of informatics used in health care primarily for which
purpose?
CORRECT
A. Documenting interdisciplinary care
The largest application of health care informatics is the growing trend of the use of electronic
medical records (EMRs) for documenting interdisciplinary care. Computers may be located at
the client's bedside or in the treatment room for ease of access for documentation.
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for evidence-based practice - ANSA. Documenting interdisciplinary care
The largest application of health care informatics is the growing trend of the use of electronic
medical records (EMRs) for documenting interdisciplinary care. Computers may be located at
the client's bedside or in the treatment room for ease of access for documentation.
The nurse has recently been assigned to a medical-surgical clinical rotation. According to the
scope of medical-surgical nursing, what type of client assignments does the nurse expect to
see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting - ANSB. Hospitalized adults with acute and chronic
illnesses
The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote
health and prevent illness or injury in clients from 18 to 100 years of age or older. The most
common practice setting is the acute care hospital.
Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a traumatic
injury?
, A. The nurse responsible for the client's case management
B. The physical therapist who developed the client's exercise program
C. The health care provider assigned as the client's medical resident
D. The unit-based RN who has cared for the client during the hospital stay - ANSA. The nurse
responsible for the client's case management
The case manager role includes coordination of acute care and post-discharge community
services for the client.
Which principal nursing actions best support a focus on client safety?
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration - ANSB. Handwashing
C. Preoperative checklists
E. Five rights of drug administration
Handwashing is the number-one way to prevent infection in clients. Checklists can help prevent
mistakes in care for a surgical client, thus ensuring a safe environment. Adhering to the five
rights of medication administration helps to prevent errors in this important nursing care activity,
providing for increased safety in client care.
An older client who has had a total hip replacement will be transferred to a rehabilitation center
for continuing care before going home. The Joint Commission, along with National Patient
Safety Goal standards, mandates communication between hospital nurses and other providers
to ensure adequate transition management. Which aspects of this client's care plan are most
important for the nurse to communicate to the rehabilitation center care team?
A. Third-party payer information
B. Pain medication needs
C. Primary care provider
D. Medical history of osteoarthritis - ANSB. Pain medication needs
The goal of communication between the hospital nurse and the outside health agency is to
provide safe transition of care. Important aspects of care, such as pain medications, oxygen
needs, and fall risks must be communicated.
The nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which
ethical principle that guides nursing clinical decision making is demonstrated in this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination - ANSD. Self-determination
Which important aspect of coordinating care within the interdisciplinary team is facilitated by use
of the "SBAR" and "PACE" procedures?
A. Communication
B. Implementation
C. Policymaking
D. Protocol development - ANSA. Communication
SBAR and PACE are acronyms for "hand-off" methods of communication used by health care
organizations to share information between shifts and between departments
Bedside computers are an example of informatics used in health care primarily for which
purpose?
CORRECT
A. Documenting interdisciplinary care
The largest application of health care informatics is the growing trend of the use of electronic
medical records (EMRs) for documenting interdisciplinary care. Computers may be located at
the client's bedside or in the treatment room for ease of access for documentation.
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for evidence-based practice - ANSA. Documenting interdisciplinary care
The largest application of health care informatics is the growing trend of the use of electronic
medical records (EMRs) for documenting interdisciplinary care. Computers may be located at
the client's bedside or in the treatment room for ease of access for documentation.
The nurse has recently been assigned to a medical-surgical clinical rotation. According to the
scope of medical-surgical nursing, what type of client assignments does the nurse expect to
see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting - ANSB. Hospitalized adults with acute and chronic
illnesses
The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote
health and prevent illness or injury in clients from 18 to 100 years of age or older. The most
common practice setting is the acute care hospital.
Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a traumatic
injury?
, A. The nurse responsible for the client's case management
B. The physical therapist who developed the client's exercise program
C. The health care provider assigned as the client's medical resident
D. The unit-based RN who has cared for the client during the hospital stay - ANSA. The nurse
responsible for the client's case management
The case manager role includes coordination of acute care and post-discharge community
services for the client.
Which principal nursing actions best support a focus on client safety?
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration - ANSB. Handwashing
C. Preoperative checklists
E. Five rights of drug administration
Handwashing is the number-one way to prevent infection in clients. Checklists can help prevent
mistakes in care for a surgical client, thus ensuring a safe environment. Adhering to the five
rights of medication administration helps to prevent errors in this important nursing care activity,
providing for increased safety in client care.
An older client who has had a total hip replacement will be transferred to a rehabilitation center
for continuing care before going home. The Joint Commission, along with National Patient
Safety Goal standards, mandates communication between hospital nurses and other providers
to ensure adequate transition management. Which aspects of this client's care plan are most
important for the nurse to communicate to the rehabilitation center care team?
A. Third-party payer information
B. Pain medication needs
C. Primary care provider
D. Medical history of osteoarthritis - ANSB. Pain medication needs
The goal of communication between the hospital nurse and the outside health agency is to
provide safe transition of care. Important aspects of care, such as pain medications, oxygen
needs, and fall risks must be communicated.
The nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which
ethical principle that guides nursing clinical decision making is demonstrated in this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination - ANSD. Self-determination
