Test Bank Medical Surgical Nursing 10th Edition
Ignatavicius Workman PDF new version
3. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to
help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand 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.
However, encouraging the client to be
active in his or her health care as a partner is the most critical. The other
actions are very limited in scope and
do 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
Collaborative Care 9e 3
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-
surgical unit. The preceptor advises the
,student 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 safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to
the 2000 Institute of Medicine report.
Many more clients have suffered injuries and less serious outcomes.
Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
1. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that 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 communication, culture, respect,
,compassion, client education, and empowerment. By assessing the effect
of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs
does not demonstrate this competence.
Simply telling the client about all upcoming tests is not providing
empowering education. Orienting the client
and family to the room is an important safety measure, but not directly
related to demonstrating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The
clients blood pressure was 142/76 mm
Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes. - ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when
clients are deteriorating before they
suffer either respiratory or cardiac arrest. Since the client has manifested
a significant change, the nurse should
call the RRT. Changes in blood pressure, mental status, heart rate, and
pain are particularly significant.
, Documentation is vital, but the nurse must do more than document. The
primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood
pressure should be reassessed
frequently, 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
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does the nurse explain is
the 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 entering the 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
Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One
recommendation is for clients to know all their
medications and why they take them. This will help prevent medication
errors.
DIF: Applying/Application REF: 4
Ignatavicius Workman PDF new version
3. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to
help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand 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.
However, encouraging the client to be
active in his or her health care as a partner is the most critical. The other
actions are very limited in scope and
do 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
Collaborative Care 9e 3
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-
surgical unit. The preceptor advises the
,student 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 safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to
the 2000 Institute of Medicine report.
Many more clients have suffered injuries and less serious outcomes.
Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
1. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that 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 communication, culture, respect,
,compassion, client education, and empowerment. By assessing the effect
of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs
does not demonstrate this competence.
Simply telling the client about all upcoming tests is not providing
empowering education. Orienting the client
and family to the room is an important safety measure, but not directly
related to demonstrating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The
clients blood pressure was 142/76 mm
Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes. - ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when
clients are deteriorating before they
suffer either respiratory or cardiac arrest. Since the client has manifested
a significant change, the nurse should
call the RRT. Changes in blood pressure, mental status, heart rate, and
pain are particularly significant.
, Documentation is vital, but the nurse must do more than document. The
primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood
pressure should be reassessed
frequently, 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
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does the nurse explain is
the 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 entering the 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
Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One
recommendation is for clients to know all their
medications and why they take them. This will help prevent medication
errors.
DIF: Applying/Application REF: 4
