Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
Chapter 01: Overview of Professional Nursing Concepts for Medical-
e e e e e e e e
Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
e e e e e e
MULTIPLEeCHOICE
1. Aenewenurseeiseworkingewitheaepreceptoreoneaemedical-
surgicaleunit.eTheepreceptoreadvisesetheenewenurseethatewhicheisetheepriorityewheneworkingeaseaep
rofessionalenurse?
a. Attendingetoeholisticeclienteneeds
b. Ensuringeclientesafety
c. Notemakingemedicationeerrors
d. Providingeclient-focusedecare
ANS:e B
Alleactionseareeappropriateeforetheeprofessionalenurse.eHowever,eensuringeclientesafetyeisetheepr
iority.eHealthecareeerrorsehaveebeenewidelyereportedefore25eyears,emanyeofewhicheresulteineclien
teinjury,edeath,eandeincreasedehealthecareecosts.eThereeareeseveralenationaleandeinternationaleor
ganizationsethatehaveeeithererecommendedeoremandatedesafetyeinitiatives.
Everyenurseehasetheeresponsibilityetoeguardetheeclient’sesafety.eTheeothereactionseareeimportantefo
requalityenursing,ebutetheyeareenoteasevitaleaseprovidingesafety.eNotemakingemedicationeerrorsedoes
eprovideesafety, ebuteisetooenarroweinescopeetoebeetheebesteanswer.
DIF: Understanding
TOP:e IntegratedeProcess:eNursingeProcess:eInterventioneKEY:e Clientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
2. Aenurseeiseorientingeaeneweclienteandefamilyetoetheemedical-
surgicaleunit.eWhateinformationedoesetheenurseeprovideetoebestehelpetheeclientepromoteehiseoreh
ereownesafety?
a. Encourageetheeclienteandefamilyetoebeeactiveepartners.
b. Haveetheeclientemonitorehandehygieneeinecaregivers.
c. Offeretheefamilyetheeopportunityetoestayewithetheeclient.
d. Telletheeclientetoealwaysewearehiseoreherearmband.
ANS:e A
Eacheactionecouldebeeimportanteforetheeclienteorefamilyetoeperform.eHowever,eencouragingetheecli
entetoebeeactiveeinehiseoreherehealthecareeaseaesafetyepartnereisetheemostecritical.eTheeothereactionsea
reeveryelimitedeinescopeeandedoenoteprovideetheebroadeprotectionethatebeingeactiveeandeinvolveded
oes.
DIF: Understanding
TOP:eIntegratedeProcess:eTeaching/LearningeKEY:e Clientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
3. Aenurseeisecaringeforeaepostoperativeeclienteonetheesurgicaleunit.eTheeclient’sebloodepressureewa
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
,Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
se142/76emmeHge30eminuteseago,eandenoweise88/50emmeHg.eWhateactionewouldetheenurseetakeef
irst?
a. CalletheeRapideResponseeTeam.
b. Documenteandecontinueetoemonitor.
c. Notifyetheeprimaryehealthecareeprovider.
d. Repeatetheebloodepressureeine15eminutes.
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank
e e e
,Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
ANS:e A
TheepurposeeofetheeRapideResponseeTeame(RRT)eisetoeinterveneewheneclientseareedeterioratingebe
foreetheyesuffereeithererespiratoryeorecardiacearrest.eSinceetheeclientehasemanifestedeaesignificantec
hange,etheenurseewouldecalletheeRRT.eChangeseinebloodepressure,ementalestatus,ehearterate,etempe
rature,eoxygenesaturation,eandelaste2ehours’eurineeoutputeareeparticularlyesignificanteandeareeparte
ofetheeModifiedeEarlyeWarningeSystemeguide.eDocumentationeisevital,ebutetheenurseemustedoemor
eethanedocument.eTheeprimaryehealthecareeproviderewouldebeenotified,ebutethiseisenotemoreeimport
antethanecallingetheeRRT.eTheeclient’sebloodepressureewouldebeereassessedefrequently,ebutetheepri
orityeisegettingetheerapidecareetoetheeclient.
DIF: Applying
TOP:e IntegratedeProcess:eCommunicationeandeDocumentationeKEY:e RapideRe
sponseeTeame(RRT),eClinicalejudgment
MSC:e ClienteNeedseCategory:ePhysiologicaleIntegrity:ePhysiologicaleAdaptation
4. Aenurseewishesetoeprovideeclient-centeredecareeinealleinteractions.eWhicheactionebyetheenurse
bestedemonstratesethiseconcept?
a. Assesseseforeculturaleinfluenceseaffectingehealthecare.
b. Ensuresethatealletheeclient’sebasiceneedseareemet.
c. Tellsetheeclienteandefamilyeaboutealleupcomingetests.
d. Thoroughlyeorientsetheeclienteandefamilyetoetheeroom.
ANS:e A
Showingerespecteforetheeclienteandefamily’sepreferenceseandeneedseiseessentialetoeensureeaeholist
iceore“whole-
person”eapproachetoecare.eByeassessingetheeeffecteofetheeclient’secultureeonehealthecare,ethisenurs
eeisepracticingeclient-
focusedecare.eProvidingeforebasiceneedsedoesenotedemonstrateethisecompetence.eSimplyetellinget
heeclienteaboutealleupcomingetestseisenoteprovidingeempoweringeeducation.eOrientingetheecliente
andefamilyetoetheeroomeiseaneimportantesafetyemeasure,ebutenotedirectlyerelatedetoedemonstratinge
client-centeredecare.
DIF: Understanding
TOP:eIntegratedeProcess:eCultureeandeSpiritualityeKEY:e Client-centeredecare,eCulture
MSC:e ClienteNeedseCategory:ePsychosocialeIntegrity
5. Aeclienteisegoingetoebeeadmittedeforeaescheduledesurgicaleprocedure.eWhicheactionedoesetheen
urseeexplaineisetheemosteimportantethingetheeclientecanedoetoeprotecteagainsteerrors?
a. Bringeaelisteofeallemedicationseandewhatetheyeareefor.
b. Keepetheeprovider’sephoneenumberebyetheetelephone.
c. Makeesureethatealleprovidersewashehandsebeforeeenteringetheeroom.
d. Writeedownetheenameeofeeachecaregiverewhoecomeseinetheeroom.
ANS:e A
Medicationereconciliationeiseaeformaleprocesseinewhichetheeclient’seactualecurrentemedicationsear
eecomparedetoetheeprescribedemedicationseatetheetimeeofeadmission,etransfer,eoredischarge.eThise
NationaleclienteSafetyeGoaleiseimportantetoereduceemedicationeerrors.eTheeclientewouldenotehave
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
, Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
etoebeeresponsibleeforeprovidersewashingetheirehands,eandeeveneifetheeclientedoeseso,ethiseisetooena
rrowetoebeetheemosteimportanteactionetoepreventeerrors.eKeepingetheeprovider’sephoneenumberen
earbyeandedocumentingeeveryoneewhoeentersetheeroomealsoedoenoteguaranteeesafety.
DIF: Applying
TOP:e IntegratedeProcess:eTeaching/LearningeKEY:e Clientesa
fety,eInformatics
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
e e e e e
gnatavicius Workman e
Chapter 01: Overview of Professional Nursing Concepts for Medical-
e e e e e e e e
Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
e e e e e e
MULTIPLEeCHOICE
1. Aenewenurseeiseworkingewitheaepreceptoreoneaemedical-
surgicaleunit.eTheepreceptoreadvisesetheenewenurseethatewhicheisetheepriorityewheneworkingeaseaep
rofessionalenurse?
a. Attendingetoeholisticeclienteneeds
b. Ensuringeclientesafety
c. Notemakingemedicationeerrors
d. Providingeclient-focusedecare
ANS:e B
Alleactionseareeappropriateeforetheeprofessionalenurse.eHowever,eensuringeclientesafetyeisetheepr
iority.eHealthecareeerrorsehaveebeenewidelyereportedefore25eyears,emanyeofewhicheresulteineclien
teinjury,edeath,eandeincreasedehealthecareecosts.eThereeareeseveralenationaleandeinternationaleor
ganizationsethatehaveeeithererecommendedeoremandatedesafetyeinitiatives.
Everyenurseehasetheeresponsibilityetoeguardetheeclient’sesafety.eTheeothereactionseareeimportantefo
requalityenursing,ebutetheyeareenoteasevitaleaseprovidingesafety.eNotemakingemedicationeerrorsedoes
eprovideesafety, ebuteisetooenarroweinescopeetoebeetheebesteanswer.
DIF: Understanding
TOP:e IntegratedeProcess:eNursingeProcess:eInterventioneKEY:e Clientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
2. Aenurseeiseorientingeaeneweclienteandefamilyetoetheemedical-
surgicaleunit.eWhateinformationedoesetheenurseeprovideetoebestehelpetheeclientepromoteehiseoreh
ereownesafety?
a. Encourageetheeclienteandefamilyetoebeeactiveepartners.
b. Haveetheeclientemonitorehandehygieneeinecaregivers.
c. Offeretheefamilyetheeopportunityetoestayewithetheeclient.
d. Telletheeclientetoealwaysewearehiseoreherearmband.
ANS:e A
Eacheactionecouldebeeimportanteforetheeclienteorefamilyetoeperform.eHowever,eencouragingetheecli
entetoebeeactiveeinehiseoreherehealthecareeaseaesafetyepartnereisetheemostecritical.eTheeothereactionsea
reeveryelimitedeinescopeeandedoenoteprovideetheebroadeprotectionethatebeingeactiveeandeinvolveded
oes.
DIF: Understanding
TOP:eIntegratedeProcess:eTeaching/LearningeKEY:e Clientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
3. Aenurseeisecaringeforeaepostoperativeeclienteonetheesurgicaleunit.eTheeclient’sebloodepressureewa
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
,Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
se142/76emmeHge30eminuteseago,eandenoweise88/50emmeHg.eWhateactionewouldetheenurseetakeef
irst?
a. CalletheeRapideResponseeTeam.
b. Documenteandecontinueetoemonitor.
c. Notifyetheeprimaryehealthecareeprovider.
d. Repeatetheebloodepressureeine15eminutes.
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank
e e e
,Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
ANS:e A
TheepurposeeofetheeRapideResponseeTeame(RRT)eisetoeinterveneewheneclientseareedeterioratingebe
foreetheyesuffereeithererespiratoryeorecardiacearrest.eSinceetheeclientehasemanifestedeaesignificantec
hange,etheenurseewouldecalletheeRRT.eChangeseinebloodepressure,ementalestatus,ehearterate,etempe
rature,eoxygenesaturation,eandelaste2ehours’eurineeoutputeareeparticularlyesignificanteandeareeparte
ofetheeModifiedeEarlyeWarningeSystemeguide.eDocumentationeisevital,ebutetheenurseemustedoemor
eethanedocument.eTheeprimaryehealthecareeproviderewouldebeenotified,ebutethiseisenotemoreeimport
antethanecallingetheeRRT.eTheeclient’sebloodepressureewouldebeereassessedefrequently,ebutetheepri
orityeisegettingetheerapidecareetoetheeclient.
DIF: Applying
TOP:e IntegratedeProcess:eCommunicationeandeDocumentationeKEY:e RapideRe
sponseeTeame(RRT),eClinicalejudgment
MSC:e ClienteNeedseCategory:ePhysiologicaleIntegrity:ePhysiologicaleAdaptation
4. Aenurseewishesetoeprovideeclient-centeredecareeinealleinteractions.eWhicheactionebyetheenurse
bestedemonstratesethiseconcept?
a. Assesseseforeculturaleinfluenceseaffectingehealthecare.
b. Ensuresethatealletheeclient’sebasiceneedseareemet.
c. Tellsetheeclienteandefamilyeaboutealleupcomingetests.
d. Thoroughlyeorientsetheeclienteandefamilyetoetheeroom.
ANS:e A
Showingerespecteforetheeclienteandefamily’sepreferenceseandeneedseiseessentialetoeensureeaeholist
iceore“whole-
person”eapproachetoecare.eByeassessingetheeeffecteofetheeclient’secultureeonehealthecare,ethisenurs
eeisepracticingeclient-
focusedecare.eProvidingeforebasiceneedsedoesenotedemonstrateethisecompetence.eSimplyetellinget
heeclienteaboutealleupcomingetestseisenoteprovidingeempoweringeeducation.eOrientingetheecliente
andefamilyetoetheeroomeiseaneimportantesafetyemeasure,ebutenotedirectlyerelatedetoedemonstratinge
client-centeredecare.
DIF: Understanding
TOP:eIntegratedeProcess:eCultureeandeSpiritualityeKEY:e Client-centeredecare,eCulture
MSC:e ClienteNeedseCategory:ePsychosocialeIntegrity
5. Aeclienteisegoingetoebeeadmittedeforeaescheduledesurgicaleprocedure.eWhicheactionedoesetheen
urseeexplaineisetheemosteimportantethingetheeclientecanedoetoeprotecteagainsteerrors?
a. Bringeaelisteofeallemedicationseandewhatetheyeareefor.
b. Keepetheeprovider’sephoneenumberebyetheetelephone.
c. Makeesureethatealleprovidersewashehandsebeforeeenteringetheeroom.
d. Writeedownetheenameeofeeachecaregiverewhoecomeseinetheeroom.
ANS:e A
Medicationereconciliationeiseaeformaleprocesseinewhichetheeclient’seactualecurrentemedicationsear
eecomparedetoetheeprescribedemedicationseatetheetimeeofeadmission,etransfer,eoredischarge.eThise
NationaleclienteSafetyeGoaleiseimportantetoereduceemedicationeerrors.eTheeclientewouldenotehave
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
, Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman e
etoebeeresponsibleeforeprovidersewashingetheirehands,eandeeveneifetheeclientedoeseso,ethiseisetooena
rrowetoebeetheemosteimportanteactionetoepreventeerrors.eKeepingetheeprovider’sephoneenumberen
earbyeandedocumentingeeveryoneewhoeentersetheeroomealsoedoenoteguaranteeesafety.
DIF: Applying
TOP:e IntegratedeProcess:eTeaching/LearningeKEY:e Clientesa
fety,eInformatics
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
Medical Surgical Nursing 10th EditionI
e e e e e
gnatavicius Workman Test Bank e e e
