Test Bank For Medical- tr tr tr
Surgical Nursing 10th Edition Concepts for Interprofessional Colla
tr tr tr tr tr tr tr
borative Care by Donna Ignatavicius, M. Linda Workman All Chapt
tr tr tr tr tr tr tr tr tr
er 1-69 Fully Covered With Questions And Correct Answers.
tr tr tr tr tr tr tr tr
•
•
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
trSurgical rtNursingt r Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLEtrCHOIC
E
,1. A new nurse is working with a preceptor on a medical-surgical
unit.trThe preceptor advises thet r new nurse that which is the
priority whentrworking 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,
ensuringtrclient safety rit s thet r priority. Health care errors
rthave been widelytrreported for 25 years, many rtof
which result int r client injury, death,trand increased health
care
costs.t r t r Theret r t r aret r t r severalt r t r nationalt r t r andt r internationalt r t r organizationst r
t r thatt r t r havet r t r eithert r t r recommendedt r t r ort r t r mandatedtrsafetyt r initiatives.
Everyt r t r nurset r t r hast r t r thet r t r responsibilityt r t r tot r t r guardt r t r thet r t r client‘st r t r s
afety.t r t r Thet r othert r t r actionst r t r aret r t r importantt r t r fort r t r qualityt r t r nursing,t r t
r butt r t r theyt r t r aret r t r nott r t r astrvitalt r t r ast r t r providingt r t r safety.t r t r Nott r t r ma
kingt r t r medicationt r t r errorst r doest r t r providetrsafety,t r t r butt r t r ist r t r toot r t r narrow
t r t r int r t r scopet r t r tot r t r bet r t r thet r t r bestt r t r answer.
DIF: Understanding TOP: Integrated Process: Nursing
Process:trInterventiont r KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety
andtrInfection Control
2. A nurse is orienting a new client and family to the medical-
surgicaltrunit. What informationt r does the nurse provide to
best rthelp 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 rit mportant rft or the client or family rtt o
perform.trHowever, encouraging thet r client to beactive in his rot r
her healthtrcare as a safety partner is the most critical.
The other
actionst r t r aretrveryt r t r limitedt r t r int r t r scopet r t r andt r t r dot r t r nott r t r providet
r t r thet r t r broadt r t r protectiont r t r thattrbeingt r t r activet r t r andt r involvedt r t r does.
DIF: Understanding TOP: Integrated
Process:trTeaching/Learningt r KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety
andtrInfection Control
3. A nurse rit s caring for a postoperative client on the surgical unit.
Thetrclient‘s blood pressure was 142/76 mm Hg 30 minutes
ago, and
now is 88/50 mm Hg. What action would the nurset r take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
, ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene
whentrclients rat re rdt eterioratingt r before they suffer either respiratory or
cardiactrarrest. Since the client has manifested a significant
change, the nursetrwould rtcall the
RRT.t r t r Changest r t r int r t r bloodt r t r pressure,t r t r mentalt r t r status,t r t r hearttrrat
e,t r t r temperature,t r t r oxygent r t r saturation,t r t r andt r t r lastt r t r 2t r t r hours‘t r t r urinet r t r
outputt r t r aretrparticularlyt r t r significantt r t r andt r t r aret r t r partt r t r oft r t r thet r t r Mod
ifiedt r t r Earlyt r t r WarningtrSystemt r t r guide.t r t r Documentationt r t r ist r t r vital,t r butt
r t r thet r t r nurset r t r mustt r t r dot r t r more
than document. The primary health care provider would be
notified,trbut this is not more important than callingthe
RRT. rtThe client‘strblood pressure would be
reassessed rtfrequently, but the priority istrgetting the rapid
caret r t r tot r t r thet r t r client.
DIF: Applying TOP: Integrated Process: Communication
andtrDocumentationt r KEY: Rapid Response Team
(RRT), Clinicaltrjudgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse wishes to provide client-centered care in all interactions.
Whichtraction by the rn
t urse
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client‘s 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
Showing respect for the client and family‘s preferences and rtneeds
istressential to ensure a holistic or ―whole-person‖ approach to
care. Bytrassessing the effect of the client‘s culture
ont r health care, this nursetris practicing client-
focusedt r t r care.t r t r Providingt r t r fort r t r basict r t r needst r t r doest r t r nottrdemonstra
tet r t r thist r t r competence.t r t r Simplyt r t r tellingt r t r thet r t r clientt r t r aboutt r t r alltru
pcomingt r t r testst r t r ist r t r nott r t r providingt r t r empoweringt r t r education.t r t r Orie
ntingt r t r the
client and family to the room is an importantt r safety measure, but
nottrdirectly related to demonstrating client-centered care.
DIF:t r Understanding
TOP:trIntegratedtrProcess:trCulturetrandtrSpiritua
lityt r KEY:t r t r Client-
centeredt r care,t r Culturet r t r MSC:t r t r Clientt r NeedstrCategory:t r t r Psychosocialt r t
r Integrity
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does trthet r nurse explain is the most important
thingtrthe client can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider‘s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication reconciliation is a formal process in which the client‘s
rtactualtrcurrent medicationst r are compared to the prescribed
Surgical Nursing 10th Edition Concepts for Interprofessional Colla
tr tr tr tr tr tr tr
borative Care by Donna Ignatavicius, M. Linda Workman All Chapt
tr tr tr tr tr tr tr tr tr
er 1-69 Fully Covered With Questions And Correct Answers.
tr tr tr tr tr tr tr tr
•
•
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
trSurgical rtNursingt r Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLEtrCHOIC
E
,1. A new nurse is working with a preceptor on a medical-surgical
unit.trThe preceptor advises thet r new nurse that which is the
priority whentrworking 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,
ensuringtrclient safety rit s thet r priority. Health care errors
rthave been widelytrreported for 25 years, many rtof
which result int r client injury, death,trand increased health
care
costs.t r t r Theret r t r aret r t r severalt r t r nationalt r t r andt r internationalt r t r organizationst r
t r thatt r t r havet r t r eithert r t r recommendedt r t r ort r t r mandatedtrsafetyt r initiatives.
Everyt r t r nurset r t r hast r t r thet r t r responsibilityt r t r tot r t r guardt r t r thet r t r client‘st r t r s
afety.t r t r Thet r othert r t r actionst r t r aret r t r importantt r t r fort r t r qualityt r t r nursing,t r t
r butt r t r theyt r t r aret r t r nott r t r astrvitalt r t r ast r t r providingt r t r safety.t r t r Nott r t r ma
kingt r t r medicationt r t r errorst r doest r t r providetrsafety,t r t r butt r t r ist r t r toot r t r narrow
t r t r int r t r scopet r t r tot r t r bet r t r thet r t r bestt r t r answer.
DIF: Understanding TOP: Integrated Process: Nursing
Process:trInterventiont r KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety
andtrInfection Control
2. A nurse is orienting a new client and family to the medical-
surgicaltrunit. What informationt r does the nurse provide to
best rthelp 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 rit mportant rft or the client or family rtt o
perform.trHowever, encouraging thet r client to beactive in his rot r
her healthtrcare as a safety partner is the most critical.
The other
actionst r t r aretrveryt r t r limitedt r t r int r t r scopet r t r andt r t r dot r t r nott r t r providet
r t r thet r t r broadt r t r protectiont r t r thattrbeingt r t r activet r t r andt r involvedt r t r does.
DIF: Understanding TOP: Integrated
Process:trTeaching/Learningt r KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety
andtrInfection Control
3. A nurse rit s caring for a postoperative client on the surgical unit.
Thetrclient‘s blood pressure was 142/76 mm Hg 30 minutes
ago, and
now is 88/50 mm Hg. What action would the nurset r take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
, ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene
whentrclients rat re rdt eterioratingt r before they suffer either respiratory or
cardiactrarrest. Since the client has manifested a significant
change, the nursetrwould rtcall the
RRT.t r t r Changest r t r int r t r bloodt r t r pressure,t r t r mentalt r t r status,t r t r hearttrrat
e,t r t r temperature,t r t r oxygent r t r saturation,t r t r andt r t r lastt r t r 2t r t r hours‘t r t r urinet r t r
outputt r t r aretrparticularlyt r t r significantt r t r andt r t r aret r t r partt r t r oft r t r thet r t r Mod
ifiedt r t r Earlyt r t r WarningtrSystemt r t r guide.t r t r Documentationt r t r ist r t r vital,t r butt
r t r thet r t r nurset r t r mustt r t r dot r t r more
than document. The primary health care provider would be
notified,trbut this is not more important than callingthe
RRT. rtThe client‘strblood pressure would be
reassessed rtfrequently, but the priority istrgetting the rapid
caret r t r tot r t r thet r t r client.
DIF: Applying TOP: Integrated Process: Communication
andtrDocumentationt r KEY: Rapid Response Team
(RRT), Clinicaltrjudgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse wishes to provide client-centered care in all interactions.
Whichtraction by the rn
t urse
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client‘s 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
Showing respect for the client and family‘s preferences and rtneeds
istressential to ensure a holistic or ―whole-person‖ approach to
care. Bytrassessing the effect of the client‘s culture
ont r health care, this nursetris practicing client-
focusedt r t r care.t r t r Providingt r t r fort r t r basict r t r needst r t r doest r t r nottrdemonstra
tet r t r thist r t r competence.t r t r Simplyt r t r tellingt r t r thet r t r clientt r t r aboutt r t r alltru
pcomingt r t r testst r t r ist r t r nott r t r providingt r t r empoweringt r t r education.t r t r Orie
ntingt r t r the
client and family to the room is an importantt r safety measure, but
nottrdirectly related to demonstrating client-centered care.
DIF:t r Understanding
TOP:trIntegratedtrProcess:trCulturetrandtrSpiritua
lityt r KEY:t r t r Client-
centeredt r care,t r Culturet r t r MSC:t r t r Clientt r NeedstrCategory:t r t r Psychosocialt r t
r Integrity
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does trthet r nurse explain is the most important
thingtrthe client can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider‘s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication reconciliation is a formal process in which the client‘s
rtactualtrcurrent medicationst r are compared to the prescribed
