MedicalSurgicalNursing
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14thEditionTest Bank z z z
MedicalSurgicalNursing z z z
14thEditionTest Bank z z z
Chapter 01: Overview of Professional Nursing Concepts fo
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r Medical-Surgical NursingMedical-
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Surgical Nursing, 14th Edition
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MULTIPLEzCHOICE
1. Aznewznurseziszworkingzwithzazpreceptorzonzazmedical-
surgicalzunit.zThezpreceptorzadvisesztheznewznursezthatzwhichziszthezpriorityzwhenzworkingzaszaz
professionalznurse?
a. Attendingztozholisticzclientzneeds
b. Ensuringzclientzsafety
c. Notzmakingzmedicationzerrors
d. Providingzclient-focusedzcare
ANS:z B
Allzactionszarezappropriatezforzthezprofessionalznurse.zHowever,zensuringzclientzsafetyziszthezpr
iority.zHealthzcarezerrorszhavezbeenzwidelyzreportedzforz25zyears,zmanyzofzwhichzresultzinzclien
tzinjury,zdeath,zandzincreasedzhealthzcarezcosts.zTherezarezseveralznationalzandzinternationalzor
ganizationszthatzhavezeitherzrecommendedzorzmandatedzsafetyzinitiatives.
Everyznursezhaszthezresponsibilityztozguardzthezclient’szsafety.zThezotherzactionszarezimportantzfo
rzqualityznursing,zbutztheyzareznotzaszvitalzaszprovidingzsafety.zNotzmakingzmedicationzerrorszdoes
zprovidezsafety,zbutzisztooznarrowzinzscopeztozbezthezbestzanswer.
,MedicalSurgicalNursing
z z z z
14thEditionTest Bank
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DIF: Understanding
TOP:z IntegratedzProcess:zNursingzProcess:zInterventionzKEY:z Clientzsafety
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
2. Aznurseziszorientingzaznewzclientzandzfamilyztozthezmedical-
surgicalzunit.zWhatzinformationzdoesztheznursezprovideztozbestzhelpzthezclientzpromotezhiszo
rzherzownzsafety?
a. Encouragezthezclientzandzfamilyztozbezactivezpartners.
b. Havezthezclientzmonitorzhandzhygienezinzcaregivers.
c. Offerzthezfamilyzthezopportunityztozstayzwithzthezclient.
d. Tellzthezclientztozalwayszwearzhiszorzherzarmband.
ANS:z A
Eachzactionzcouldzbezimportantzforzthezclientzorzfamilyztozperform.zHowever,zencouragingzthezcli
entztozbezactivezinzhiszorzherzhealthzcarezaszazsafetyzpartnerziszthezmostzcritical.zThezotherzactionsza
rezveryzlimitedzinzscopezandzdoznotzprovidezthezbroadzprotectionzthatzbeingzactivezandzinvolvedzd
oes.
DIF: Understanding
TOP:zIntegratedzProcess:zTeaching/LearningzKEY:z Clientzsafety
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
3. Aznurseziszcaringzforzazpostoperativezclientzonzthezsurgicalzunit.zThezclient’szbloodzpressurezw
asz142/76zmmzHgz30zminuteszago,zandznowzisz88/50zmmzHg.zWhatzactionzwouldztheznurseztak
ezfirst?
a. CallzthezRapidzResponsezTeam.
b. Documentzandzcontinueztozmonitor.
c. Notifyzthezprimaryzhealthzcarezprovider.
d. Repeatzthezbloodzpressurezinz15zminutes.
,MedicalSurgicalNursing
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14thEditionTest Bank
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ANS:z A
ThezpurposezofzthezRapidzResponsezTeamz(RRT)zisztozintervenezwhenzclientszarezdeterioratingzbe
foreztheyzsufferzeitherzrespiratoryzorzcardiaczarrest.zSincezthezclientzhaszmanifestedzazsignificantzc
hange,ztheznursezwouldzcallzthezRRT.zChangeszinzbloodzpressure,zmentalzstatus,zheartzrate,ztempe
rature,zoxygenzsaturation,zandzlastz2zhours’zurinezoutputzarezparticularlyzsignificantzandzarezpartz
ofzthezModifiedzEarlyzWarningzSystemzguide.zDocumentationziszvital,zbutztheznursezmustzdozmor
ezthanzdocument.zThezprimaryzhealthzcarezproviderzwouldzbeznotified,zbutzthiszisznotzmorezimport
antzthanzcallingzthezRRT.zThezclient’szbloodzpressurezwouldzbezreassessedzfrequently,zbutzthezpri
orityziszgettingzthezrapidzcareztozthezclient.
DIF: Applying
TOP:z IntegratedzProcess:zCommunicationzandzDocumentationzKEY:z RapidzRes
ponsezTeamz(RRT),zClinicalzjudgment
MSC:z ClientzNeedszCategory:zPhysiologicalzIntegrity:zPhysiologicalzAdaptation
4. Aznursezwishesztozprovidezclient-centeredzcarezinzallzinteractions.zWhichzactionzbyztheznurse
bestzdemonstrateszthiszconcept?
a. Assesseszforzculturalzinfluenceszaffectingzhealthzcare.
b. Ensureszthatzallzthezclient’szbasiczneedszarezmet.
c. Tellszthezclientzandzfamilyzaboutzallzupcomingztests.
d. Thoroughlyzorientszthezclientzandzfamilyztozthezroom.
ANS:z A
Showingzrespectzforzthezclientzandzfamily’szpreferenceszandzneedsziszessentialztozensurezazholist
iczorz“whole-
person”zapproachztozcare.zByzassessingzthezeffectzofzthezclient’szculturezonzhealthzcare,zthisznurs
eziszpracticingzclient-
focusedzcare.zProvidingzforzbasiczneedszdoesznotzdemonstratezthiszcompetence.zSimplyztellingzt
hezclientzaboutzallzupcomingztestszisznotzprovidingzempoweringzeducation.zOrientingzthezclientz
andzfamilyztozthezroomziszanzimportantzsafetyzmeasure,zbutznotzdirectlyzrelatedztozdemonstratingz
client-centeredzcare.
, MedicalSurgicalNursing
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14thEditionTest Bank z z z
DIF: Understanding
TOP:zIntegratedzProcess:zCulturezandzSpiritualityzKEY:z Client-centeredzcare,zCulture
MSC:z ClientzNeedszCategory:zPsychosocialzIntegrity
5. Azclientziszgoingztozbezadmittedzforzazscheduledzsurgicalzprocedure.zWhichzactionzdoeszthezn
ursezexplainziszthezmostzimportantzthingzthezclientzcanzdoztozprotectzagainstzerrors?
a. Bringzazlistzofzallzmedicationszandzwhatztheyzarezfor.
b. Keepzthezprovider’szphoneznumberzbyztheztelephone.
c. Makezsurezthatzallzproviderszwashzhandszbeforezenteringzthezroom.
d. Writezdownztheznamezofzeachzcaregiverzwhozcomeszinzthezroom.
ANS:z A
Medicationzreconciliationziszazformalzprocesszinzwhichzthezclient’szactualzcurrentzmedicationszar
ezcomparedztozthezprescribedzmedicationszatztheztimezofzadmission,ztransfer,zorzdischarge.zThisz
NationalzclientzSafetyzGoalziszimportantztozreducezmedicationzerrors.zThezclientzwouldznotzhave
ztozbezresponsiblezforzproviderszwashingztheirzhands,zandzevenzifzthezclientzdoeszso,zthiszisztoozna
rrowztozbezthezmostzimportantzactionztozpreventzerrors.zKeepingzthezprovider’szphoneznumberzn
earbyzandzdocumentingzeveryonezwhozenterszthezroomzalsozdoznotzguaranteezsafety.
DIF: Applying
TOP:z IntegratedzProcess:zTeaching/LearningzKEY:z Clientzsafe
ty,zInformatics
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
z z z z
14thEditionTest Bank z z z
MedicalSurgicalNursing z z z
14thEditionTest Bank z z z
Chapter 01: Overview of Professional Nursing Concepts fo
z z z z z z z
r Medical-Surgical NursingMedical-
z z z
Surgical Nursing, 14th Edition
z z z
MULTIPLEzCHOICE
1. Aznewznurseziszworkingzwithzazpreceptorzonzazmedical-
surgicalzunit.zThezpreceptorzadvisesztheznewznursezthatzwhichziszthezpriorityzwhenzworkingzaszaz
professionalznurse?
a. Attendingztozholisticzclientzneeds
b. Ensuringzclientzsafety
c. Notzmakingzmedicationzerrors
d. Providingzclient-focusedzcare
ANS:z B
Allzactionszarezappropriatezforzthezprofessionalznurse.zHowever,zensuringzclientzsafetyziszthezpr
iority.zHealthzcarezerrorszhavezbeenzwidelyzreportedzforz25zyears,zmanyzofzwhichzresultzinzclien
tzinjury,zdeath,zandzincreasedzhealthzcarezcosts.zTherezarezseveralznationalzandzinternationalzor
ganizationszthatzhavezeitherzrecommendedzorzmandatedzsafetyzinitiatives.
Everyznursezhaszthezresponsibilityztozguardzthezclient’szsafety.zThezotherzactionszarezimportantzfo
rzqualityznursing,zbutztheyzareznotzaszvitalzaszprovidingzsafety.zNotzmakingzmedicationzerrorszdoes
zprovidezsafety,zbutzisztooznarrowzinzscopeztozbezthezbestzanswer.
,MedicalSurgicalNursing
z z z z
14thEditionTest Bank
z z z
DIF: Understanding
TOP:z IntegratedzProcess:zNursingzProcess:zInterventionzKEY:z Clientzsafety
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
2. Aznurseziszorientingzaznewzclientzandzfamilyztozthezmedical-
surgicalzunit.zWhatzinformationzdoesztheznursezprovideztozbestzhelpzthezclientzpromotezhiszo
rzherzownzsafety?
a. Encouragezthezclientzandzfamilyztozbezactivezpartners.
b. Havezthezclientzmonitorzhandzhygienezinzcaregivers.
c. Offerzthezfamilyzthezopportunityztozstayzwithzthezclient.
d. Tellzthezclientztozalwayszwearzhiszorzherzarmband.
ANS:z A
Eachzactionzcouldzbezimportantzforzthezclientzorzfamilyztozperform.zHowever,zencouragingzthezcli
entztozbezactivezinzhiszorzherzhealthzcarezaszazsafetyzpartnerziszthezmostzcritical.zThezotherzactionsza
rezveryzlimitedzinzscopezandzdoznotzprovidezthezbroadzprotectionzthatzbeingzactivezandzinvolvedzd
oes.
DIF: Understanding
TOP:zIntegratedzProcess:zTeaching/LearningzKEY:z Clientzsafety
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
3. Aznurseziszcaringzforzazpostoperativezclientzonzthezsurgicalzunit.zThezclient’szbloodzpressurezw
asz142/76zmmzHgz30zminuteszago,zandznowzisz88/50zmmzHg.zWhatzactionzwouldztheznurseztak
ezfirst?
a. CallzthezRapidzResponsezTeam.
b. Documentzandzcontinueztozmonitor.
c. Notifyzthezprimaryzhealthzcarezprovider.
d. Repeatzthezbloodzpressurezinz15zminutes.
,MedicalSurgicalNursing
z z z z
14thEditionTest Bank
z z z
ANS:z A
ThezpurposezofzthezRapidzResponsezTeamz(RRT)zisztozintervenezwhenzclientszarezdeterioratingzbe
foreztheyzsufferzeitherzrespiratoryzorzcardiaczarrest.zSincezthezclientzhaszmanifestedzazsignificantzc
hange,ztheznursezwouldzcallzthezRRT.zChangeszinzbloodzpressure,zmentalzstatus,zheartzrate,ztempe
rature,zoxygenzsaturation,zandzlastz2zhours’zurinezoutputzarezparticularlyzsignificantzandzarezpartz
ofzthezModifiedzEarlyzWarningzSystemzguide.zDocumentationziszvital,zbutztheznursezmustzdozmor
ezthanzdocument.zThezprimaryzhealthzcarezproviderzwouldzbeznotified,zbutzthiszisznotzmorezimport
antzthanzcallingzthezRRT.zThezclient’szbloodzpressurezwouldzbezreassessedzfrequently,zbutzthezpri
orityziszgettingzthezrapidzcareztozthezclient.
DIF: Applying
TOP:z IntegratedzProcess:zCommunicationzandzDocumentationzKEY:z RapidzRes
ponsezTeamz(RRT),zClinicalzjudgment
MSC:z ClientzNeedszCategory:zPhysiologicalzIntegrity:zPhysiologicalzAdaptation
4. Aznursezwishesztozprovidezclient-centeredzcarezinzallzinteractions.zWhichzactionzbyztheznurse
bestzdemonstrateszthiszconcept?
a. Assesseszforzculturalzinfluenceszaffectingzhealthzcare.
b. Ensureszthatzallzthezclient’szbasiczneedszarezmet.
c. Tellszthezclientzandzfamilyzaboutzallzupcomingztests.
d. Thoroughlyzorientszthezclientzandzfamilyztozthezroom.
ANS:z A
Showingzrespectzforzthezclientzandzfamily’szpreferenceszandzneedsziszessentialztozensurezazholist
iczorz“whole-
person”zapproachztozcare.zByzassessingzthezeffectzofzthezclient’szculturezonzhealthzcare,zthisznurs
eziszpracticingzclient-
focusedzcare.zProvidingzforzbasiczneedszdoesznotzdemonstratezthiszcompetence.zSimplyztellingzt
hezclientzaboutzallzupcomingztestszisznotzprovidingzempoweringzeducation.zOrientingzthezclientz
andzfamilyztozthezroomziszanzimportantzsafetyzmeasure,zbutznotzdirectlyzrelatedztozdemonstratingz
client-centeredzcare.
, MedicalSurgicalNursing
z z z z
14thEditionTest Bank z z z
DIF: Understanding
TOP:zIntegratedzProcess:zCulturezandzSpiritualityzKEY:z Client-centeredzcare,zCulture
MSC:z ClientzNeedszCategory:zPsychosocialzIntegrity
5. Azclientziszgoingztozbezadmittedzforzazscheduledzsurgicalzprocedure.zWhichzactionzdoeszthezn
ursezexplainziszthezmostzimportantzthingzthezclientzcanzdoztozprotectzagainstzerrors?
a. Bringzazlistzofzallzmedicationszandzwhatztheyzarezfor.
b. Keepzthezprovider’szphoneznumberzbyztheztelephone.
c. Makezsurezthatzallzproviderszwashzhandszbeforezenteringzthezroom.
d. Writezdownztheznamezofzeachzcaregiverzwhozcomeszinzthezroom.
ANS:z A
Medicationzreconciliationziszazformalzprocesszinzwhichzthezclient’szactualzcurrentzmedicationszar
ezcomparedztozthezprescribedzmedicationszatztheztimezofzadmission,ztransfer,zorzdischarge.zThisz
NationalzclientzSafetyzGoalziszimportantztozreducezmedicationzerrors.zThezclientzwouldznotzhave
ztozbezresponsiblezforzproviderszwashingztheirzhands,zandzevenzifzthezclientzdoeszso,zthiszisztoozna
rrowztozbezthezmostzimportantzactionztozpreventzerrors.zKeepingzthezprovider’szphoneznumberzn
earbyzandzdocumentingzeveryonezwhozenterszthezroomzalsozdoznotzguaranteezsafety.
DIF: Applying
TOP:z IntegratedzProcess:zTeaching/LearningzKEY:z Clientzsafe
ty,zInformatics
MSC:z ClientzNeedszCategory:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControl
