TEST BANK for Ignatavicius: Medical-
m m m m
Surgical Nursing, 8th Edition / Update
m m m m m m
dfor 2024 m m
2.m Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
msurgicalmunit.mWhatminformationmdoesmthemnursemprovidemtom
bestmhelpmthemclientmpromotemhismormhermownmsafety?
a.m Encouragemthemclientmandmfamilymtombemactivempartners.
b.m Havemthemclientmmonitormhandmhygieneminmcaregivers.
c.m Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d.m Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:mA
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomp
erform.mHowever,mencouragingmthemclientmtombemactiveminmhism
ormhermhealthmcaremasmamsafetympartnermismthemmostmcritical.mTh
emothermactionsmaremverymlimitedminmscopemandmdomnotmprovide
mthembroadmprotectionmthatmbeingmactivemandminvolvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess
:mTeaching/LearningmKEY:mClientmsafety
MSC:mClientmNeedsmCategory:mSafemandmEffectivemCa
remEnvironment:mSafetymandmInfectionmControl
3.m Amnursemismcaringmformampostoperativemclientmonmthemsurgic
almunit.mThemclient’smbloodmpressuremwasm142/76mmmmHgm
30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionm
wouldmthemnursemtakemfirst?
a.m CallmthemRapidmResponsemTeam.
b.m Documentmandmcontinuemtommonitor.
c.m Notifymthemprimarymhealthmcaremprovider.
, d.m Repeatmthembloodmpressureminm15mminutes.
Btestbanks.com
ANS:mA
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtominter
venemwhenmclientsmaremdeterioratingmbeforemtheymsuffermeither
mrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifeste
dmamsignificantmchange,mthemnursemwouldmcallmthemRRT.mChan
gesminmbloodmpressure,mmentalmstatus,mheartmrate,mtemperature
,moxygenmsaturation,mandmlastm2mhours’murinemoutputmarempartic
ularlymsignificantmandmarempartmofmthe
ModifiedmEarlymWarningmSystemmguide.mDocumentationmismvi
tal,mbutmthemnursemmustmdommoremthanmdocument.mThemprimar
ymhealthmcaremprovidermwouldmbemnotified,mbutmthismismnotmmor
emimportantmthanmcallingmthemRRT.mThemclient’smbloodmpressu
remwouldmbemreassessedmfrequently,mbutmthemprioritymismgetting
mthemrapidmcaremtomthemclient.
DIF:m Applying
TOP:mIntegratedmProcess
:mCommunicationmandmDocumentationmKEY:mRapi
dmResponsemTeamm(RRT),mClinicalmjudgment
MSC:mClientmNeedsmCategory:mPhysiologicalmIntegrit
y:mPhysiologicalmAdaptation
4.m Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbym
themnursembestmdemonstratesmthismconcept?
a.m Assessesmformculturalminfluencesmaffectingmhealthmcare.
b.m Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c.m Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d.m Thoroughlymorientsmthemclientmandmfamilymtomthemroom.m
ANS:mA
, Showingmrespectmformthemclientmandmfamily’smpreferencesma
ndmneedsmismessentialmtomensuremamholisticmorm“whole-
person”
approachmtomcare.mBymassessingmthemeffectmofmthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticingmclientfocusedmcare.
Providingmformbasicmneedsmdoesmnotmdemonstratemthismcompet
ence.mSimplymtellingmthemclientmaboutmallmupcomingmtestsmismno
tmprovidingmempoweringmeducation.mOrientingmthemclientmandm
familymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmd
irectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCul
turemandmSpiritualitymKEY:mClient-centeredmcare,mCulture
MSC:mClientmNeedsmCategory
:mPsychosocialmIntegrity
5.m Amclientmismgoingmtombemadmittedmformamscheduledmsurgical
mprocedure.mWhichmactionmdoesmthemnursemexplainmismthem
mostmimportantmthingmthemclientmcanmdomtomprotectmagainstm
errors?
a.m Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b.m Keepmthemprovider’smphonemnumbermbymthemtelephone.
c.mMakemsuremthatmallmprovidersmwashmhandsmbeforementeringmt
hemroom.
d.m Writemdownmthemnamemofmeachmcaregivermwhomcomesminmth
emroom.
ANS:mA
Medicationmreconciliationmismamformalmprocessminmwhichmt
hemclient’smactualmcurrentmmedicationsmaremcomparedmtomth
e
prescribedmmedicationsmatmthemtimemofmadmission,mtransfer,mo
rmdischarge.mThismNationalmclientmSafetymGoalmismimportantmt
omreducemmedicationmerrors.mThemclientmwouldmnotmhavemtomb
emresponsiblemformprovidersmwashingmtheirmhands,mandmevenmi
fmthemclientmdoesmso,mthismismtoomnarrowmtombemthemmostmimpor
tant
actionmtompreventmerrors.mKeepingmthemprovider’smphonemnumb
ermnearbymandmdocumentingmeveryonemwhomentersmthemroommal
, somdomnotmguaranteemsafety.
m m m m
Surgical Nursing, 8th Edition / Update
m m m m m m
dfor 2024 m m
2.m Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
msurgicalmunit.mWhatminformationmdoesmthemnursemprovidemtom
bestmhelpmthemclientmpromotemhismormhermownmsafety?
a.m Encouragemthemclientmandmfamilymtombemactivempartners.
b.m Havemthemclientmmonitormhandmhygieneminmcaregivers.
c.m Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d.m Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:mA
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomp
erform.mHowever,mencouragingmthemclientmtombemactiveminmhism
ormhermhealthmcaremasmamsafetympartnermismthemmostmcritical.mTh
emothermactionsmaremverymlimitedminmscopemandmdomnotmprovide
mthembroadmprotectionmthatmbeingmactivemandminvolvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess
:mTeaching/LearningmKEY:mClientmsafety
MSC:mClientmNeedsmCategory:mSafemandmEffectivemCa
remEnvironment:mSafetymandmInfectionmControl
3.m Amnursemismcaringmformampostoperativemclientmonmthemsurgic
almunit.mThemclient’smbloodmpressuremwasm142/76mmmmHgm
30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionm
wouldmthemnursemtakemfirst?
a.m CallmthemRapidmResponsemTeam.
b.m Documentmandmcontinuemtommonitor.
c.m Notifymthemprimarymhealthmcaremprovider.
, d.m Repeatmthembloodmpressureminm15mminutes.
Btestbanks.com
ANS:mA
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtominter
venemwhenmclientsmaremdeterioratingmbeforemtheymsuffermeither
mrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifeste
dmamsignificantmchange,mthemnursemwouldmcallmthemRRT.mChan
gesminmbloodmpressure,mmentalmstatus,mheartmrate,mtemperature
,moxygenmsaturation,mandmlastm2mhours’murinemoutputmarempartic
ularlymsignificantmandmarempartmofmthe
ModifiedmEarlymWarningmSystemmguide.mDocumentationmismvi
tal,mbutmthemnursemmustmdommoremthanmdocument.mThemprimar
ymhealthmcaremprovidermwouldmbemnotified,mbutmthismismnotmmor
emimportantmthanmcallingmthemRRT.mThemclient’smbloodmpressu
remwouldmbemreassessedmfrequently,mbutmthemprioritymismgetting
mthemrapidmcaremtomthemclient.
DIF:m Applying
TOP:mIntegratedmProcess
:mCommunicationmandmDocumentationmKEY:mRapi
dmResponsemTeamm(RRT),mClinicalmjudgment
MSC:mClientmNeedsmCategory:mPhysiologicalmIntegrit
y:mPhysiologicalmAdaptation
4.m Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbym
themnursembestmdemonstratesmthismconcept?
a.m Assessesmformculturalminfluencesmaffectingmhealthmcare.
b.m Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c.m Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d.m Thoroughlymorientsmthemclientmandmfamilymtomthemroom.m
ANS:mA
, Showingmrespectmformthemclientmandmfamily’smpreferencesma
ndmneedsmismessentialmtomensuremamholisticmorm“whole-
person”
approachmtomcare.mBymassessingmthemeffectmofmthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticingmclientfocusedmcare.
Providingmformbasicmneedsmdoesmnotmdemonstratemthismcompet
ence.mSimplymtellingmthemclientmaboutmallmupcomingmtestsmismno
tmprovidingmempoweringmeducation.mOrientingmthemclientmandm
familymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmd
irectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCul
turemandmSpiritualitymKEY:mClient-centeredmcare,mCulture
MSC:mClientmNeedsmCategory
:mPsychosocialmIntegrity
5.m Amclientmismgoingmtombemadmittedmformamscheduledmsurgical
mprocedure.mWhichmactionmdoesmthemnursemexplainmismthem
mostmimportantmthingmthemclientmcanmdomtomprotectmagainstm
errors?
a.m Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b.m Keepmthemprovider’smphonemnumbermbymthemtelephone.
c.mMakemsuremthatmallmprovidersmwashmhandsmbeforementeringmt
hemroom.
d.m Writemdownmthemnamemofmeachmcaregivermwhomcomesminmth
emroom.
ANS:mA
Medicationmreconciliationmismamformalmprocessminmwhichmt
hemclient’smactualmcurrentmmedicationsmaremcomparedmtomth
e
prescribedmmedicationsmatmthemtimemofmadmission,mtransfer,mo
rmdischarge.mThismNationalmclientmSafetymGoalmismimportantmt
omreducemmedicationmerrors.mThemclientmwouldmnotmhavemtomb
emresponsiblemformprovidersmwashingmtheirmhands,mandmevenmi
fmthemclientmdoesmso,mthismismtoomnarrowmtombemthemmostmimpor
tant
actionmtompreventmerrors.mKeepingmthemprovider’smphonemnumb
ermnearbymandmdocumentingmeveryonemwhomentersmthemroommal
, somdomnotmguaranteemsafety.
