Stuvia.com
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c-cThecMarketplace
c- ctocBuycandcSellcyourcStudycMaterial
cThe
ThecMarketplace MarketplacectotocBuyBuycand
andcSellSellcyouryourcStu
dy
StudycMaterialMaterial
TEST BANK c
FOR
MEDICAL SURGICAL NU c c
RSING 8TH EDITIONIGNA
c
c
c
VATICIUS
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Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
Chapter 1: Introduction to Medical-
c c c c
Surgical Nursing PracticeIgnatavicius: Medical-
c c c c
Surgical Nursing, 8th Edition
c c c
MULTIPLEcCHOICE
1. Acnewcnurseciscworkingcwithcacpreceptorconcancinpatientcmedical-
surgicalcunit.cThecpreceptorcadvisescthecstudentcthatcwhichciscthecprioritycwhencworkingc
ascacprofessionalcnurse?
a. Attendingctocholisticcclientcneeds
b. Ensuringcclientcsafety
c. Notcmakingcmedicationcerrors
d. Providingcclient-focusedccare
ANS:c B
Allcactionscarecappropriatecforcthecprofessionalcnurse.cHowever,censuringcclientcsafetyciscthecpr
iority.cUpctoc98,000cdeathscresultceachcyearcfromcerrorscinchospitalccare,caccordingctocthec2000c
InstitutecofcMedicinecreport.cManycmorecclientschavecsufferedcinjuriescandclesscseriouscoutcom
es.cEverycnursechascthecresponsibilityctocguardcthecclient’scsafety.
DIF: Understanding/Comprehension REF: 2
KEY:c PatientcsafetycMSC:c IntegratedcProcess:cNursingcProcess:cIntervention
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
2. Acnurseciscorientingcacnewcclientcandcfamilyctocthecinpatientcunit.cWhatcinformationcdoescthecnu
rsecprovidectochelpcthecclientcpromotechiscorchercowncsafety?
a. Encouragecthecclientcandcfamilyctocbecactivecpartners.
b. Havecthecclientcmonitorchandchygienecinccaregivers.
c. Offercthecfamilycthecopportunityctocstaycwithcthecclient.
d. Tellcthecclientctocalwayscwearchiscorchercarmband.
ANS:c A
Eachcactionccouldcbecimportantcforcthecclientcorcfamilyctocperform.cHowever,cencouragingcth
ecclientctocbecactivecinchiscorcherchealthccarecascacpartnerciscthecmostccritical.cThecothercaction
scarecveryclimitedcincscopecandcdocnotcprovidecthecbroadcprotectioncthatcbeingcactivecandcinvo
lvedcdoes.
DIF: Understanding/Comprehension REF: 3
KEY:c PatientcsafetycMSC:c IntegratedcProcess:cTeaching/Learning
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
3. Acnursecisccaringcforcacpostoperativecclientconcthecsurgicalcunit.cThecclient’scbloodcpressurecw
asc142/76cmmcHgc30cminutescago,candcnowcisc88/50cmmcHg.cWhatcactioncbycthecnurseciscbest
?
a. CallcthecRapidcResponsecTeam.
b. Documentcandccontinuectocmonitor.
c. Notifycthecprimaryccarecprovider.
d. Repeatcbloodcpressurecmeasurementcinc15cminutes.
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Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
ANS:c A
ThecpurposecofcthecRapidcResponsecTeamc(RRT)cisctocintervenecwhencclientscarecdeterioratingc
beforectheycsufferceithercrespiratorycorccardiaccarrest.cSincecthecclientchascmanifestedcacsignific
antcchange,cthecnursecshouldccallcthecRRT.cChangescincbloodcpressure,cmentalcstatus,cheartcrate,
candcpaincarecparticularlycsignificant.cDocumentationciscvital,cbutcthecnursecmustcdocmorecthancd
ocument.cThecprimaryccarecprovidercshouldcbecnotified,cbutcthisciscnotcthecprioritycoverccallingct
hecRRT.cThecclient’scbloodcpressurecshouldcbecreassessedcfrequently,cbutcthecpriorityciscgettingc
thecrapidccarectocthecclient.
DIF: Applying/Application REF:
3cKEY:c RapidcResponsecTeamc(RRT)|cmedicalceme
rgencies
MSC:c IntegratedcProcess:cCommunicationcandcDocumentation
NOT:c ClientcNeedscCategory:cPhysiologicalcIntegrity:cPhysiologicalcAdaptation
4. Acnursecwishesctocprovidecclient-
centeredccarecincallcinteractions.cWhichcactioncbycthecnursecbestcdemonstratescthiscconcept?
a. Assessescforcculturalcinfluencescaffectingchealthccare
b. Ensurescthatcallcthecclients’cbasiccneedscarecmet
c. Tellscthecclientcandcfamilycaboutcallcupcomingctests
d. Thoroughlycorientscthecclientcandcfamilyctocthecroom
ANS:c A
Competencycincclient-
focusedccareciscdemonstratedcwhencthecnursecfocusesconccommunication,cculture,crespec
t,ccompassion,cclientceducation,candcempowerment.cBycassessingctheceffectcofcthecclient’
sccultureconchealthccare,cthiscnurseciscpracticing
client-
focusedccare.cProvidingcforcbasiccneedscdoescnotcdemonstratecthisccompetence.cSimplyctellin
gcthecclientcaboutcallcupcomingctestsciscnotcprovidingcempoweringceducation.cOrientingctheccl
ientcandcfamilyctocthecroomciscancimportantcsafetycmeasure,cbutcnotcdirectlycrelatedctocdemons
tratingcclient-centeredccare.
DIF: Understanding/Comprehension REF: 3
KEY:c Patient-centeredccare|cculture
MSC:c IntegratedcProcess:cCaringc
NOT:c ClientcNeedscCategory:cPsychosocialcIntegrity
5. Acclientciscgoingctocbecadmittedcforcacscheduledcsurgicalcprocedure.cWhichcactioncdoescthecn
ursecexplainciscthecmostcimportantcthingcthecclientccancdoctocprotectcagainstcerrors?
a. Bringcaclistcofcallcmedicationscandcwhatctheycarecfor.
b. Keepcthecdoctor’scphonecnumbercbycthectelephone.
c. Makecsurecallcproviderscwashchandscbeforecenteringcthecroom.
d. Writecdowncthecnamecofceachccaregivercwhoccomescincthecroom.
ANS:c A
Medicationcerrorscarecthecmostccommonctypecofchealthccarecmistake.cThecJointcCommission
’scSpeakcUpccampaigncencouragescclientsctochelpcensurectheircsafety.cOnecrecommendationc
iscforcclientsctocknowcallctheircmedicationscandcwhyctheyctakecthem.cThiscwillchelpcpreventcm
edicationcerrors.
DIF: Applying/Application REF: 4
KEY:c SpeakcUpccampaign|cpatientcsafety MSC:c IntegratedcProcess:cTeaching/Learning
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ogmmail.com
Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
6. Whichcactioncbycthecnursecworkingcwithcacclientcbestcdemonstratescrespectcforcautonomy?
a. Askscifcthecclientchascquestionscbeforecsigningcacconsent
b. Givescthecclientcaccuratecinformationcwhencquestioned
c. Keepscthecpromisescmadectocthecclientcandcfamily
d. Treatscthecclientcfairlyccomparedctocothercclients
ANS:c A
Autonomyciscself-
determination.cThecclientcshouldcmakecdecisionscregardingccare.cWhencthecnursecobtainscacsign
atureconcthecconsentcform,cassessingcifcthecclientcstillchascquestionsciscvital,cbecausecwithoutcful
lcinformationcthecclientccannotcpracticecautonomy.cGivingcaccuratecinformationciscpracticingcw
ithcveracity.cKeepingcpromisesciscupholdingcfidelity.cTreatingcthecclientcfairlyciscprovidingcsoci
alcjustice.
DIF: Applying/Application REF: 4
KEY:c Autonomy|cethicalcprinciples MSC:c IntegratedcProcess:cCaring
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
7. Acstudentcnursecaskscthecfacultyctocexplaincbestcpracticescwhenccommunicatingcwithcacp
ersoncfromctheclesbian,cgay,cbisexual,ctransgender,candcqueer/questioningc(LGBTQ)cco
mmunity.cWhatcanswercbycthecfacultyciscmostcaccurate?
a. Avoidcembarrassingcthecclientcbycaskingcquestions.
b. Don’tcmakecassumptionscaboutctheirchealthcneeds.
c. MostcLGBTQcpeoplecdocnotcwantctocsharecinformation.
d. Nocdifferencescexistcinccommunicatingcwithcthiscpopulation.
ANS:c B
ManycmemberscofcthecLGBTQccommunitychavecfacedcdiscriminationcfromchealthccarecprovid
erscandcmaycbecreluctantctocseekchealthccare.cThecnursecshouldcnevercmakecassumptionscaboutct
hecneedscofcmemberscofcthiscpopulation.cRather,crespectfulcquestionscarecappropriate.cIfcapproa
chedcwithcsensitivity,cthecclientcwithcanychealthccarecneedciscmoreclikelyctocanswerchonestly.
DIF: Understanding/Comprehension REF: 4
KEY:c LGBTQ|cdiversitycMSC:c IntegratedcProcess:cTeaching/Learning
NOT:c ClientcNeedscCategory:cPsychosocialcIntegrity
8. Acnursecisccallingcthecon-
callcphysiciancaboutcacclientcwhochadcachysterectomyc2cdayscagocandchascpaincthatciscunrelieve
dcbycthecprescribedcnarcoticcpaincmedication.cWhichcstatementciscpartcofcthecSBARcformatcforc
communication?
a. A:c“Icwouldclikecyouctocordercacdifferentcpaincmedication.”
b. B:c“Thiscclientchascallergiesctocmorphinecandccodeine.”
c. R:c“Dr.cSmithcdoesn’tclikecnonsteroidalcanti-inflammatorycmeds.”
d. S:c“Thiscclientchadcacvaginalchysterectomyc2cdayscago.”c
ANS:c B
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ogmmail.com
Distributioncofcthiscdocumentciscillegal
Stuvia.com
c-cThecMarketplace
c- ctocBuycandcSellcyourcStudycMaterial
cThe
ThecMarketplace MarketplacectotocBuyBuycand
andcSellSellcyouryourcStu
dy
StudycMaterialMaterial
TEST BANK c
FOR
MEDICAL SURGICAL NU c c
RSING 8TH EDITIONIGNA
c
c
c
VATICIUS
DownloaDdD
oew
o
dwnblno
yl:aoP
daea
ddsesdbinybg
:yG
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:cu
kraipsdehereA||m
|paa
ilblpiicegeklniattcywh1a@
2ir@
igmm
gum
a9ia6
l.ic5l.o@
cm
ogmmail.com
Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
Chapter 1: Introduction to Medical-
c c c c
Surgical Nursing PracticeIgnatavicius: Medical-
c c c c
Surgical Nursing, 8th Edition
c c c
MULTIPLEcCHOICE
1. Acnewcnurseciscworkingcwithcacpreceptorconcancinpatientcmedical-
surgicalcunit.cThecpreceptorcadvisescthecstudentcthatcwhichciscthecprioritycwhencworkingc
ascacprofessionalcnurse?
a. Attendingctocholisticcclientcneeds
b. Ensuringcclientcsafety
c. Notcmakingcmedicationcerrors
d. Providingcclient-focusedccare
ANS:c B
Allcactionscarecappropriatecforcthecprofessionalcnurse.cHowever,censuringcclientcsafetyciscthecpr
iority.cUpctoc98,000cdeathscresultceachcyearcfromcerrorscinchospitalccare,caccordingctocthec2000c
InstitutecofcMedicinecreport.cManycmorecclientschavecsufferedcinjuriescandclesscseriouscoutcom
es.cEverycnursechascthecresponsibilityctocguardcthecclient’scsafety.
DIF: Understanding/Comprehension REF: 2
KEY:c PatientcsafetycMSC:c IntegratedcProcess:cNursingcProcess:cIntervention
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
2. Acnurseciscorientingcacnewcclientcandcfamilyctocthecinpatientcunit.cWhatcinformationcdoescthecnu
rsecprovidectochelpcthecclientcpromotechiscorchercowncsafety?
a. Encouragecthecclientcandcfamilyctocbecactivecpartners.
b. Havecthecclientcmonitorchandchygienecinccaregivers.
c. Offercthecfamilycthecopportunityctocstaycwithcthecclient.
d. Tellcthecclientctocalwayscwearchiscorchercarmband.
ANS:c A
Eachcactionccouldcbecimportantcforcthecclientcorcfamilyctocperform.cHowever,cencouragingcth
ecclientctocbecactivecinchiscorcherchealthccarecascacpartnerciscthecmostccritical.cThecothercaction
scarecveryclimitedcincscopecandcdocnotcprovidecthecbroadcprotectioncthatcbeingcactivecandcinvo
lvedcdoes.
DIF: Understanding/Comprehension REF: 3
KEY:c PatientcsafetycMSC:c IntegratedcProcess:cTeaching/Learning
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
3. Acnursecisccaringcforcacpostoperativecclientconcthecsurgicalcunit.cThecclient’scbloodcpressurecw
asc142/76cmmcHgc30cminutescago,candcnowcisc88/50cmmcHg.cWhatcactioncbycthecnurseciscbest
?
a. CallcthecRapidcResponsecTeam.
b. Documentcandccontinuectocmonitor.
c. Notifycthecprimaryccarecprovider.
d. Repeatcbloodcpressurecmeasurementcinc15cminutes.
DownloaDdD
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Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
ANS:c A
ThecpurposecofcthecRapidcResponsecTeamc(RRT)cisctocintervenecwhencclientscarecdeterioratingc
beforectheycsufferceithercrespiratorycorccardiaccarrest.cSincecthecclientchascmanifestedcacsignific
antcchange,cthecnursecshouldccallcthecRRT.cChangescincbloodcpressure,cmentalcstatus,cheartcrate,
candcpaincarecparticularlycsignificant.cDocumentationciscvital,cbutcthecnursecmustcdocmorecthancd
ocument.cThecprimaryccarecprovidercshouldcbecnotified,cbutcthisciscnotcthecprioritycoverccallingct
hecRRT.cThecclient’scbloodcpressurecshouldcbecreassessedcfrequently,cbutcthecpriorityciscgettingc
thecrapidccarectocthecclient.
DIF: Applying/Application REF:
3cKEY:c RapidcResponsecTeamc(RRT)|cmedicalceme
rgencies
MSC:c IntegratedcProcess:cCommunicationcandcDocumentation
NOT:c ClientcNeedscCategory:cPhysiologicalcIntegrity:cPhysiologicalcAdaptation
4. Acnursecwishesctocprovidecclient-
centeredccarecincallcinteractions.cWhichcactioncbycthecnursecbestcdemonstratescthiscconcept?
a. Assessescforcculturalcinfluencescaffectingchealthccare
b. Ensurescthatcallcthecclients’cbasiccneedscarecmet
c. Tellscthecclientcandcfamilycaboutcallcupcomingctests
d. Thoroughlycorientscthecclientcandcfamilyctocthecroom
ANS:c A
Competencycincclient-
focusedccareciscdemonstratedcwhencthecnursecfocusesconccommunication,cculture,crespec
t,ccompassion,cclientceducation,candcempowerment.cBycassessingctheceffectcofcthecclient’
sccultureconchealthccare,cthiscnurseciscpracticing
client-
focusedccare.cProvidingcforcbasiccneedscdoescnotcdemonstratecthisccompetence.cSimplyctellin
gcthecclientcaboutcallcupcomingctestsciscnotcprovidingcempoweringceducation.cOrientingctheccl
ientcandcfamilyctocthecroomciscancimportantcsafetycmeasure,cbutcnotcdirectlycrelatedctocdemons
tratingcclient-centeredccare.
DIF: Understanding/Comprehension REF: 3
KEY:c Patient-centeredccare|cculture
MSC:c IntegratedcProcess:cCaringc
NOT:c ClientcNeedscCategory:cPsychosocialcIntegrity
5. Acclientciscgoingctocbecadmittedcforcacscheduledcsurgicalcprocedure.cWhichcactioncdoescthecn
ursecexplainciscthecmostcimportantcthingcthecclientccancdoctocprotectcagainstcerrors?
a. Bringcaclistcofcallcmedicationscandcwhatctheycarecfor.
b. Keepcthecdoctor’scphonecnumbercbycthectelephone.
c. Makecsurecallcproviderscwashchandscbeforecenteringcthecroom.
d. Writecdowncthecnamecofceachccaregivercwhoccomescincthecroom.
ANS:c A
Medicationcerrorscarecthecmostccommonctypecofchealthccarecmistake.cThecJointcCommission
’scSpeakcUpccampaigncencouragescclientsctochelpcensurectheircsafety.cOnecrecommendationc
iscforcclientsctocknowcallctheircmedicationscandcwhyctheyctakecthem.cThiscwillchelpcpreventcm
edicationcerrors.
DIF: Applying/Application REF: 4
KEY:c SpeakcUpccampaign|cpatientcsafety MSC:c IntegratedcProcess:cTeaching/Learning
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Distributioncofcthiscdocumentciscillegal
, Stuvia.comc-
cThecMarketplacectocBuycandcSellcyourcStudycMaterial
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncContr
ol
6. Whichcactioncbycthecnursecworkingcwithcacclientcbestcdemonstratescrespectcforcautonomy?
a. Askscifcthecclientchascquestionscbeforecsigningcacconsent
b. Givescthecclientcaccuratecinformationcwhencquestioned
c. Keepscthecpromisescmadectocthecclientcandcfamily
d. Treatscthecclientcfairlyccomparedctocothercclients
ANS:c A
Autonomyciscself-
determination.cThecclientcshouldcmakecdecisionscregardingccare.cWhencthecnursecobtainscacsign
atureconcthecconsentcform,cassessingcifcthecclientcstillchascquestionsciscvital,cbecausecwithoutcful
lcinformationcthecclientccannotcpracticecautonomy.cGivingcaccuratecinformationciscpracticingcw
ithcveracity.cKeepingcpromisesciscupholdingcfidelity.cTreatingcthecclientcfairlyciscprovidingcsoci
alcjustice.
DIF: Applying/Application REF: 4
KEY:c Autonomy|cethicalcprinciples MSC:c IntegratedcProcess:cCaring
NOT:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cManagementcofcCare
7. Acstudentcnursecaskscthecfacultyctocexplaincbestcpracticescwhenccommunicatingcwithcacp
ersoncfromctheclesbian,cgay,cbisexual,ctransgender,candcqueer/questioningc(LGBTQ)cco
mmunity.cWhatcanswercbycthecfacultyciscmostcaccurate?
a. Avoidcembarrassingcthecclientcbycaskingcquestions.
b. Don’tcmakecassumptionscaboutctheirchealthcneeds.
c. MostcLGBTQcpeoplecdocnotcwantctocsharecinformation.
d. Nocdifferencescexistcinccommunicatingcwithcthiscpopulation.
ANS:c B
ManycmemberscofcthecLGBTQccommunitychavecfacedcdiscriminationcfromchealthccarecprovid
erscandcmaycbecreluctantctocseekchealthccare.cThecnursecshouldcnevercmakecassumptionscaboutct
hecneedscofcmemberscofcthiscpopulation.cRather,crespectfulcquestionscarecappropriate.cIfcapproa
chedcwithcsensitivity,cthecclientcwithcanychealthccarecneedciscmoreclikelyctocanswerchonestly.
DIF: Understanding/Comprehension REF: 4
KEY:c LGBTQ|cdiversitycMSC:c IntegratedcProcess:cTeaching/Learning
NOT:c ClientcNeedscCategory:cPsychosocialcIntegrity
8. Acnursecisccallingcthecon-
callcphysiciancaboutcacclientcwhochadcachysterectomyc2cdayscagocandchascpaincthatciscunrelieve
dcbycthecprescribedcnarcoticcpaincmedication.cWhichcstatementciscpartcofcthecSBARcformatcforc
communication?
a. A:c“Icwouldclikecyouctocordercacdifferentcpaincmedication.”
b. B:c“Thiscclientchascallergiesctocmorphinecandccodeine.”
c. R:c“Dr.cSmithcdoesn’tclikecnonsteroidalcanti-inflammatorycmeds.”
d. S:c“Thiscclientchadcacvaginalchysterectomyc2cdayscago.”c
ANS:c B
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ilblpiicegeklniattcywh1a@
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Distributioncofcthiscdocumentciscillegal
