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andnSellSellnyouryournSt
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StudynMaterialMaterial
TEST BANK n
FOR
MEDICAL SURGICAL NU n n
RSING 8TH EDITIONIGNA
n
n
n
VATICIUS
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 1: Introduction to Medical-
n n n n
Surgical Nursing PracticeIgnatavicius: Medical-
n n n n
Surgical Nursing, 8th Edition
n n n
MULTIPLEnCHOICE
1. Annewnnursenisnworkingnwithnanpreceptornonnanninpatientnmedical-
surgicalnunit.nThenpreceptornadvisesnthenstudentnthatnwhichnisnthenprioritynwhennworking
nasnanprofessionaln
nurse?
a. Attendingntonholisticnclientnneeds
b. Ensuringnclientnsafety
c. Notnmakingnmedicationnerrors
d. Providingnclient-focusedncare
ANS:n B
Allnactionsnarenappropriatenfornthenprofessionalnnurse.nHowever,nensuringnclientnsafetynisnthenp
riority.nUpnton98,000ndeathsnresultneachnyearnfromnerrorsninnhospitalncare,naccordingntonthen200
0nInstitutenofnMedicinenreport.nManynmorenclientsnhavensufferedninjuriesnandnlessnseriousnoutc
omes.nEverynnursenhasnthenresponsibilityntonguardnthenclient’snsafety.
DIF: Understanding/Comprehension REF: 2
KEY:n PatientnsafetynMSC:n IntegratednProcess:nNursingnProcess:n Intervention
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
2. Annursenisnorientingnannewnclientnandnfamilyntontheninpatientnunit.nWhatninformationndoesnthenn
ursenprovidentonhelpnthenclientnpromotenhisnornhernownnsafety?
a. Encouragenthenclientnandnfamilyntonbenactivenpartners.
b. Haventhenclientnmonitornhandnhygieneninncaregivers.
c. Offernthenfamilynthenopportunityntonstaynwithnthenclient.
d. Tellnthenclientntonalwaysnwearnhisnornhernarmband.
ANS:n A
Eachnactionncouldnbenimportantnfornthenclientnornfamilyntonperform.nHowever,nencouragingnt
henclientntonbenactiveninnhisnornhernhealthncarenasnanpartnernisnthenmostncritical.nThenothernacti
onsnarenverynlimitedninnscopenandndonnotnprovidenthenbroadnprotectionnthatnbeingnactivenandni
nvolvedndoes.
DIF: Understanding/Comprehension REF: 3
KEY:n PatientnsafetynMSC:n IntegratednProcess:nTeaching/Learning
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
3. Annursenisncaringnfornanpostoperativenclientnonnthensurgicalnunit.nThenclient’snbloodnpressuren
wasn142/76nmmnHgn30nminutesnago,nandnnownisn88/50nmmnHg.nWhatnactionnbynthennursenisnb
est?
a. CallnthenRapidnResponsenTeam.
b. Documentnandncontinuentonmonitor.
c. Notifynthenprimaryncarenprovider.
d. Repeatnbloodnpressurenmeasurementninn15nminutes.
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
ANS:n A
ThenpurposenofnthenRapidnResponsenTeamn(RRT)nisntonintervenenwhennclientsnarendeteriorating
nbeforentheynsufferneithernrespiratorynorncardiacnarrest.nSincenthenclientnhasnmanifestednansignifi
cantnchange,nthennursenshouldncallnthenRRT.nChangesninnbloodnpressure,nmentalnstatus,nheartnra
te,nandnpainnarenparticularlynsignificant.nDocumentationnisnvital,nbutnthennursenmustndonmorentha
nndocument.nThenprimaryncarenprovidernshouldnbennotified,nbutnthisnisnnotnthenprioritynoverncalli
ngnthenRRT.nThenclient’snbloodnpressurenshouldnbenreassessednfrequently,nbutnthenprioritynisnge
ttingnthenrapidncarentonthenclient.
DIF: Applying/Application REF:
3nKEY:n RapidnResponsenTeamn(RRT)|nmedicalneme
rgencies
MSC:n IntegratednProcess:nCommunicationnandnDocumentation
NOT:n ClientnNeedsnCategory:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
4. Annursenwishesntonprovidenclient-
centeredncareninnallninteractions.nWhichnactionnbynthennursenbestndemonstratesnthisnconcept?
a. Assessesnfornculturalninfluencesnaffectingnhealthncare
b. Ensuresnthatnallnthenclients’nbasicnneedsnarenmet
c. Tellsnthenclientnandnfamilynaboutnallnupcomingntests
d. Thoroughlynorientsnthenclientnandnfamilyntonthenroom
ANS:n A
Competencyninnclient-
focusedncarenisndemonstratednwhennthennursenfocusesnonncommunication,nculture,nrespe
ct,ncompassion,nclientneducation,nandnempowerment.nBynassessingntheneffectnofnthenclien
t’snculturenonnhealthncare,nthisnnursenisnpracticing
client-
focusedncare.nProvidingnfornbasicnneedsndoesnnotndemonstratenthisncompetence.nSimplyntelli
ngnthenclientnaboutnallnupcomingntestsnisnnotnprovidingnempoweringneducation.nOrientingnthe
nclientnandnfamilyntonthenroomnisnannimportantnsafetynmeasure,nbutnnotndirectlynrelatedntondem
onstratingnclient-centeredncare.
DIF: Understanding/Comprehension REF: 3
KEY:n Patient-centeredncare|nculture
MSC:n IntegratednProcess:nCaringn
NOT:n ClientnNeedsnCategory:nPsychosocialn Integrity
5. Anclientnisngoingntonbenadmittednfornanschedulednsurgicalnprocedure.nWhichnactionndoesnthenn
ursenexplainnisnthenmostnimportantnthingnthenclientncanndontonprotectnagainstnerrors?
a. Bringnanlistnofnallnmedicationsnandnwhatntheynarenfor.
b. Keepnthendoctor’snphonennumbernbynthentelephone.
c. Makensurenallnprovidersnwashnhandsnbeforenenteringnthenroom.
d. Writendownnthennamenofneachncaregivernwhoncomesninnthenroom.
ANS:n A
Medicationnerrorsnarenthenmostncommonntypenofnhealthncarenmistake.nThenJointnCommissio
n’snSpeaknUpncampaignnencouragesnclientsntonhelpnensurentheirnsafety.nOnenrecommendatio
nnisnfornclientsntonknownallntheirnmedicationsnandnwhyntheyntakenthem.nThisnwillnhelpnprevent
nmedicationnerrors.
DIF: Applying/Application REF: 4
KEY:n SpeaknUpncampaign|npatientnsafety MSC:n IntegratednProcess:nTeaching/Learning
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
6. Whichnactionnbynthennursenworkingnwithnanclientnbestndemonstratesnrespectnfornautonomy?
a. Asksnifnthenclientnhasnquestionsnbeforensigningnanconsent
b. Givesnthenclientnaccurateninformationnwhennquestioned
c. Keepsnthenpromisesnmadentonthenclientnandnfamily
d. Treatsnthenclientnfairlyncomparedntonothernclients
ANS:n A
Autonomynisnself-
determination.nThenclientnshouldnmakendecisionsnregardingncare.nWhennthennursenobtainsnansig
naturenonnthenconsentnform,nassessingnifnthenclientnstillnhasnquestionsnisnvital,nbecausenwithoutnf
ullninformationnthenclientncannotnpracticenautonomy.nGivingnaccurateninformationnisnpracticing
nwithnveracity.nKeepingnpromisesnisnupholdingnfidelity.nTreatingnthenclientnfairlynisnprovidingns
ocialnjustice.
DIF: Applying/Application REF: 4
KEY:n Autonomy|nethicalnprinciples MSC:n IntegratednProcess:nCaring
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
7. Anstudentnnursenasksnthenfacultyntonexplainnbestnpracticesnwhenncommunicatingnwithnanp
ersonnfromnthenlesbian,ngay,nbisexual,ntransgender,nandnqueer/questioningn(LGBTQ)nco
mmunity.nWhatnanswernbynthenfacultynisnmostnaccurate?
a. Avoidnembarrassingnthenclientnbynaskingnquestions.
b. Don’tnmakenassumptionsnaboutntheirnhealthnneeds.
c. MostnLGBTQnpeoplendonnotnwantntonshareninformation.
d. Nondifferencesnexistninncommunicatingnwithnthisnpopulation.
ANS:n B
ManynmembersnofnthenLGBTQncommunitynhavenfacedndiscriminationnfromnhealthncarenprovi
dersnandnmaynbenreluctantntonseeknhealthncare.nThennursenshouldnnevernmakenassumptionsnabo
utnthenneedsnofnmembersnofnthisnpopulation.nRather,nrespectfulnquestionsnarenappropriate.nIfnap
proachednwithnsensitivity,nthenclientnwithnanynhealthncarenneednisnmorenlikelyntonanswernhonest
ly.
DIF: Understanding/Comprehension REF: 4
KEY:n LGBTQ|ndiversitynMSC:n IntegratednProcess:nTeaching/Learning
NOT:n ClientnNeedsnCategory:nPsychosocialnIntegrity
8. Annursenisncallingnthenon-
callnphysiciannaboutnanclientnwhonhadnanhysterectomyn2ndaysnagonandnhasnpainnthatnisnunreliev
ednbynthenprescribednnarcoticnpainnmedication.nWhichnstatementnisnpartnofnthenSBARnformatnf
orncommunication?
a. A:n“Inwouldnlikenyountonordernandifferentnpainnmedication.”
b. B:n“Thisnclientnhasnallergiesntonmorphinenandncodeine.”
c. R:n“Dr.nSmithndoesn’tnlikennonsteroidalnanti-inflammatorynmeds.”
d. S:n“Thisnclientnhadnanvaginalnhysterectomyn2ndaysnago.”n
ANS:n B
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Distributionnofnthisndocumentnisnillegal
Stuvia.com
n-nThenMarketplace
n- ntonBuynandnSellnyournStudynMaterial
nThe
ThenMarketplace MarketplacentotonBuyBuynand
andnSellSellnyouryournSt
udy
StudynMaterialMaterial
TEST BANK n
FOR
MEDICAL SURGICAL NU n n
RSING 8TH EDITIONIGNA
n
n
n
VATICIUS
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 1: Introduction to Medical-
n n n n
Surgical Nursing PracticeIgnatavicius: Medical-
n n n n
Surgical Nursing, 8th Edition
n n n
MULTIPLEnCHOICE
1. Annewnnursenisnworkingnwithnanpreceptornonnanninpatientnmedical-
surgicalnunit.nThenpreceptornadvisesnthenstudentnthatnwhichnisnthenprioritynwhennworking
nasnanprofessionaln
nurse?
a. Attendingntonholisticnclientnneeds
b. Ensuringnclientnsafety
c. Notnmakingnmedicationnerrors
d. Providingnclient-focusedncare
ANS:n B
Allnactionsnarenappropriatenfornthenprofessionalnnurse.nHowever,nensuringnclientnsafetynisnthenp
riority.nUpnton98,000ndeathsnresultneachnyearnfromnerrorsninnhospitalncare,naccordingntonthen200
0nInstitutenofnMedicinenreport.nManynmorenclientsnhavensufferedninjuriesnandnlessnseriousnoutc
omes.nEverynnursenhasnthenresponsibilityntonguardnthenclient’snsafety.
DIF: Understanding/Comprehension REF: 2
KEY:n PatientnsafetynMSC:n IntegratednProcess:nNursingnProcess:n Intervention
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
2. Annursenisnorientingnannewnclientnandnfamilyntontheninpatientnunit.nWhatninformationndoesnthenn
ursenprovidentonhelpnthenclientnpromotenhisnornhernownnsafety?
a. Encouragenthenclientnandnfamilyntonbenactivenpartners.
b. Haventhenclientnmonitornhandnhygieneninncaregivers.
c. Offernthenfamilynthenopportunityntonstaynwithnthenclient.
d. Tellnthenclientntonalwaysnwearnhisnornhernarmband.
ANS:n A
Eachnactionncouldnbenimportantnfornthenclientnornfamilyntonperform.nHowever,nencouragingnt
henclientntonbenactiveninnhisnornhernhealthncarenasnanpartnernisnthenmostncritical.nThenothernacti
onsnarenverynlimitedninnscopenandndonnotnprovidenthenbroadnprotectionnthatnbeingnactivenandni
nvolvedndoes.
DIF: Understanding/Comprehension REF: 3
KEY:n PatientnsafetynMSC:n IntegratednProcess:nTeaching/Learning
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
3. Annursenisncaringnfornanpostoperativenclientnonnthensurgicalnunit.nThenclient’snbloodnpressuren
wasn142/76nmmnHgn30nminutesnago,nandnnownisn88/50nmmnHg.nWhatnactionnbynthennursenisnb
est?
a. CallnthenRapidnResponsenTeam.
b. Documentnandncontinuentonmonitor.
c. Notifynthenprimaryncarenprovider.
d. Repeatnbloodnpressurenmeasurementninn15nminutes.
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
ANS:n A
ThenpurposenofnthenRapidnResponsenTeamn(RRT)nisntonintervenenwhennclientsnarendeteriorating
nbeforentheynsufferneithernrespiratorynorncardiacnarrest.nSincenthenclientnhasnmanifestednansignifi
cantnchange,nthennursenshouldncallnthenRRT.nChangesninnbloodnpressure,nmentalnstatus,nheartnra
te,nandnpainnarenparticularlynsignificant.nDocumentationnisnvital,nbutnthennursenmustndonmorentha
nndocument.nThenprimaryncarenprovidernshouldnbennotified,nbutnthisnisnnotnthenprioritynoverncalli
ngnthenRRT.nThenclient’snbloodnpressurenshouldnbenreassessednfrequently,nbutnthenprioritynisnge
ttingnthenrapidncarentonthenclient.
DIF: Applying/Application REF:
3nKEY:n RapidnResponsenTeamn(RRT)|nmedicalneme
rgencies
MSC:n IntegratednProcess:nCommunicationnandnDocumentation
NOT:n ClientnNeedsnCategory:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
4. Annursenwishesntonprovidenclient-
centeredncareninnallninteractions.nWhichnactionnbynthennursenbestndemonstratesnthisnconcept?
a. Assessesnfornculturalninfluencesnaffectingnhealthncare
b. Ensuresnthatnallnthenclients’nbasicnneedsnarenmet
c. Tellsnthenclientnandnfamilynaboutnallnupcomingntests
d. Thoroughlynorientsnthenclientnandnfamilyntonthenroom
ANS:n A
Competencyninnclient-
focusedncarenisndemonstratednwhennthennursenfocusesnonncommunication,nculture,nrespe
ct,ncompassion,nclientneducation,nandnempowerment.nBynassessingntheneffectnofnthenclien
t’snculturenonnhealthncare,nthisnnursenisnpracticing
client-
focusedncare.nProvidingnfornbasicnneedsndoesnnotndemonstratenthisncompetence.nSimplyntelli
ngnthenclientnaboutnallnupcomingntestsnisnnotnprovidingnempoweringneducation.nOrientingnthe
nclientnandnfamilyntonthenroomnisnannimportantnsafetynmeasure,nbutnnotndirectlynrelatedntondem
onstratingnclient-centeredncare.
DIF: Understanding/Comprehension REF: 3
KEY:n Patient-centeredncare|nculture
MSC:n IntegratednProcess:nCaringn
NOT:n ClientnNeedsnCategory:nPsychosocialn Integrity
5. Anclientnisngoingntonbenadmittednfornanschedulednsurgicalnprocedure.nWhichnactionndoesnthenn
ursenexplainnisnthenmostnimportantnthingnthenclientncanndontonprotectnagainstnerrors?
a. Bringnanlistnofnallnmedicationsnandnwhatntheynarenfor.
b. Keepnthendoctor’snphonennumbernbynthentelephone.
c. Makensurenallnprovidersnwashnhandsnbeforenenteringnthenroom.
d. Writendownnthennamenofneachncaregivernwhoncomesninnthenroom.
ANS:n A
Medicationnerrorsnarenthenmostncommonntypenofnhealthncarenmistake.nThenJointnCommissio
n’snSpeaknUpncampaignnencouragesnclientsntonhelpnensurentheirnsafety.nOnenrecommendatio
nnisnfornclientsntonknownallntheirnmedicationsnandnwhyntheyntakenthem.nThisnwillnhelpnprevent
nmedicationnerrors.
DIF: Applying/Application REF: 4
KEY:n SpeaknUpncampaign|npatientnsafety MSC:n IntegratednProcess:nTeaching/Learning
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Distributionnofnthisndocumentnisnillegal
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnCont
rol
6. Whichnactionnbynthennursenworkingnwithnanclientnbestndemonstratesnrespectnfornautonomy?
a. Asksnifnthenclientnhasnquestionsnbeforensigningnanconsent
b. Givesnthenclientnaccurateninformationnwhennquestioned
c. Keepsnthenpromisesnmadentonthenclientnandnfamily
d. Treatsnthenclientnfairlyncomparedntonothernclients
ANS:n A
Autonomynisnself-
determination.nThenclientnshouldnmakendecisionsnregardingncare.nWhennthennursenobtainsnansig
naturenonnthenconsentnform,nassessingnifnthenclientnstillnhasnquestionsnisnvital,nbecausenwithoutnf
ullninformationnthenclientncannotnpracticenautonomy.nGivingnaccurateninformationnisnpracticing
nwithnveracity.nKeepingnpromisesnisnupholdingnfidelity.nTreatingnthenclientnfairlynisnprovidingns
ocialnjustice.
DIF: Applying/Application REF: 4
KEY:n Autonomy|nethicalnprinciples MSC:n IntegratednProcess:nCaring
NOT:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
7. Anstudentnnursenasksnthenfacultyntonexplainnbestnpracticesnwhenncommunicatingnwithnanp
ersonnfromnthenlesbian,ngay,nbisexual,ntransgender,nandnqueer/questioningn(LGBTQ)nco
mmunity.nWhatnanswernbynthenfacultynisnmostnaccurate?
a. Avoidnembarrassingnthenclientnbynaskingnquestions.
b. Don’tnmakenassumptionsnaboutntheirnhealthnneeds.
c. MostnLGBTQnpeoplendonnotnwantntonshareninformation.
d. Nondifferencesnexistninncommunicatingnwithnthisnpopulation.
ANS:n B
ManynmembersnofnthenLGBTQncommunitynhavenfacedndiscriminationnfromnhealthncarenprovi
dersnandnmaynbenreluctantntonseeknhealthncare.nThennursenshouldnnevernmakenassumptionsnabo
utnthenneedsnofnmembersnofnthisnpopulation.nRather,nrespectfulnquestionsnarenappropriate.nIfnap
proachednwithnsensitivity,nthenclientnwithnanynhealthncarenneednisnmorenlikelyntonanswernhonest
ly.
DIF: Understanding/Comprehension REF: 4
KEY:n LGBTQ|ndiversitynMSC:n IntegratednProcess:nTeaching/Learning
NOT:n ClientnNeedsnCategory:nPsychosocialnIntegrity
8. Annursenisncallingnthenon-
callnphysiciannaboutnanclientnwhonhadnanhysterectomyn2ndaysnagonandnhasnpainnthatnisnunreliev
ednbynthenprescribednnarcoticnpainnmedication.nWhichnstatementnisnpartnofnthenSBARnformatnf
orncommunication?
a. A:n“Inwouldnlikenyountonordernandifferentnpainnmedication.”
b. B:n“Thisnclientnhasnallergiesntonmorphinenandncodeine.”
c. R:n“Dr.nSmithndoesn’tnlikennonsteroidalnanti-inflammatorynmeds.”
d. S:n“Thisnclientnhadnanvaginalnhysterectomyn2ndaysnago.”n
ANS:n B
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