Stuvia.com
Stuvia.com
x-xThexMarketplace
x- xtoxBuyxandxSellxyourxStudyxMaterial
xThe
ThexMarketplace Marketplacexto
toxBuyBuyxand
andxSellSellxyouryourxStu
dy
StudyxMaterialMaterial
TEST BANK x
FOR
MEDICAL SURGICAL NU x x
RSING 8TH EDITIONIGNA
x
x
x
VATICIUS
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Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
Chapter 1: Introduction to Medical-
x x x x
Surgical Nursing PracticeIgnatavicius: Medical-
x x x x
Surgical Nursing, 8th Edition
x x x
MULTIPLExCHOICE
1. Axnewxnursexisxworkingxwithxaxpreceptorxonxanxinpatientxmedical-
surgicalxunit.xThexpreceptorxadvisesxthexstudentxthatxwhichxisxthexpriorityxwhenxworking
xasxaxprofessionalx
nurse?
a. Attendingxtoxholisticxclientxneeds
b. Ensuringxclientxsafety
c. Notxmakingxmedicationxerrors
d. Providingxclient-focusedxcare
ANS:x B
Allxactionsxarexappropriatexforxthexprofessionalxnurse.xHowever,xensuringxclientxsafetyxisxthexp
riority.xUpxtox98,000xdeathsxresultxeachxyearxfromxerrorsxinxhospitalxcare,xaccordingxtoxthex200
0xInstitutexofxMedicinexreport.xManyxmorexclientsxhavexsufferedxinjuriesxandxlessxseriousxoutc
omes.xEveryxnursexhasxthexresponsibilityxtoxguardxthexclient’sxsafety.
DIF: Understanding/Comprehension REF: 2
KEY:x PatientxsafetyxMSC:x IntegratedxProcess:xNursingxProcess:xIntervention
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
2. Axnursexisxorientingxaxnewxclientxandxfamilyxtoxthexinpatientxunit.xWhatxinformationxdoesxthexn
ursexprovidextoxhelpxthexclientxpromotexhisxorxherxownxsafety?
a. Encouragexthexclientxandxfamilyxtoxbexactivexpartners.
b. Havexthexclientxmonitorxhandxhygienexinxcaregivers.
c. Offerxthexfamilyxthexopportunityxtoxstayxwithxthexclient.
d. Tellxthexclientxtoxalwaysxwearxhisxorxherxarmband.
ANS:x A
Eachxactionxcouldxbeximportantxforxthexclientxorxfamilyxtoxperform.xHowever,xencouragingxt
hexclientxtoxbexactivexinxhisxorxherxhealthxcarexasxaxpartnerxisxthexmostxcritical.xThexotherxacti
onsxarexveryxlimitedxinxscopexandxdoxnotxprovidexthexbroadxprotectionxthatxbeingxactivexandxi
nvolvedxdoes.
DIF: Understanding/Comprehension REF: 3
KEY:x PatientxsafetyxMSC:x IntegratedxProcess:xTeaching/Learning
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
3. Axnursexisxcaringxforxaxpostoperativexclientxonxthexsurgicalxunit.xThexclient’sxbloodxpressurex
wasx142/76xmmxHgx30xminutesxago,xandxnowxisx88/50xmmxHg.xWhatxactionxbyxthexnursexisxb
est?
a. CallxthexRapidxResponsexTeam.
b. Documentxandxcontinuextoxmonitor.
c. Notifyxthexprimaryxcarexprovider.
d. Repeatxbloodxpressurexmeasurementxinx15xminutes.
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Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
ANS:x A
ThexpurposexofxthexRapidxResponsexTeamx(RRT)xisxtoxintervenexwhenxclientsxarexdeteriorating
xbeforextheyxsufferxeitherxrespiratoryxorxcardiacxarrest.xSincexthexclientxhasxmanifestedxaxsignifi
cantxchange,xthexnursexshouldxcallxthexRRT.xChangesxinxbloodxpressure,xmentalxstatus,xheartxra
te,xandxpainxarexparticularlyxsignificant.xDocumentationxisxvital,xbutxthexnursexmustxdoxmorextha
nxdocument.xThexprimaryxcarexproviderxshouldxbexnotified,xbutxthisxisxnotxthexpriorityxoverxcalli
ngxthexRRT.xThexclient’sxbloodxpressurexshouldxbexreassessedxfrequently,xbutxthexpriorityxisxge
ttingxthexrapidxcarextoxthexclient.
DIF: Applying/Application REF:
3xKEY:x RapidxResponsexTeamx(RRT)|xmedicalxeme
rgencies
MSC:x IntegratedxProcess:xCommunicationxandxDocumentation
NOT:x ClientxNeedsxCategory:xPhysiologicalxIntegrity:xPhysiologicalxAdaptation
4. Axnursexwishesxtoxprovidexclient-
centeredxcarexinxallxinteractions.xWhichxactionxbyxthexnursexbestxdemonstratesxthisxconcept?
a. Assessesxforxculturalxinfluencesxaffectingxhealthxcare
b. Ensuresxthatxallxthexclients’xbasicxneedsxarexmet
c. Tellsxthexclientxandxfamilyxaboutxallxupcomingxtests
d. Thoroughlyxorientsxthexclientxandxfamilyxtoxthexroom
ANS:x A
Competencyxinxclient-
focusedxcarexisxdemonstratedxwhenxthexnursexfocusesxonxcommunication,xculture,xrespe
ct,xcompassion,xclientxeducation,xandxempowerment.xByxassessingxthexeffectxofxthexclien
t’sxculturexonxhealthxcare,xthisxnursexisxpracticing
client-
focusedxcare.xProvidingxforxbasicxneedsxdoesxnotxdemonstratexthisxcompetence.xSimplyxtelli
ngxthexclientxaboutxallxupcomingxtestsxisxnotxprovidingxempoweringxeducation.xOrientingxthe
xclientxandxfamilyxtoxthexroomxisxanximportantxsafetyxmeasure,xbutxnotxdirectlyxrelatedxtoxdem
onstratingxclient-centeredxcare.
DIF: Understanding/Comprehension REF: 3
KEY:x Patient-centeredxcare|xculture
MSC:x IntegratedxProcess:xCaringx
NOT:x ClientxNeedsxCategory:xPsychosocialxIntegrity
5. Axclientxisxgoingxtoxbexadmittedxforxaxscheduledxsurgicalxprocedure.xWhichxactionxdoesxthexn
ursexexplainxisxthexmostximportantxthingxthexclientxcanxdoxtoxprotectxagainstxerrors?
a. Bringxaxlistxofxallxmedicationsxandxwhatxtheyxarexfor.
b. Keepxthexdoctor’sxphonexnumberxbyxthextelephone.
c. Makexsurexallxprovidersxwashxhandsxbeforexenteringxthexroom.
d. Writexdownxthexnamexofxeachxcaregiverxwhoxcomesxinxthexroom.
ANS:x A
Medicationxerrorsxarexthexmostxcommonxtypexofxhealthxcarexmistake.xThexJointxCommissio
n’sxSpeakxUpxcampaignxencouragesxclientsxtoxhelpxensurextheirxsafety.xOnexrecommendatio
nxisxforxclientsxtoxknowxallxtheirxmedicationsxandxwhyxtheyxtakexthem.xThisxwillxhelpxprevent
xmedicationxerrors.
DIF: Applying/Application REF: 4
KEY:x SpeakxUpxcampaign|xpatientxsafety MSC:x IntegratedxProcess:xTeaching/Learning
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ogmmail.com
Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
6. Whichxactionxbyxthexnursexworkingxwithxaxclientxbestxdemonstratesxrespectxforxautonomy?
a. Asksxifxthexclientxhasxquestionsxbeforexsigningxaxconsent
b. Givesxthexclientxaccuratexinformationxwhenxquestioned
c. Keepsxthexpromisesxmadextoxthexclientxandxfamily
d. Treatsxthexclientxfairlyxcomparedxtoxotherxclients
ANS:x A
Autonomyxisxself-
determination.xThexclientxshouldxmakexdecisionsxregardingxcare.xWhenxthexnursexobtainsxaxsig
naturexonxthexconsentxform,xassessingxifxthexclientxstillxhasxquestionsxisxvital,xbecausexwithoutxf
ullxinformationxthexclientxcannotxpracticexautonomy.xGivingxaccuratexinformationxisxpracticing
xwithxveracity.xKeepingxpromisesxisxupholdingxfidelity.xTreatingxthexclientxfairlyxisxprovidingxs
ocialxjustice.
DIF: Applying/Application REF: 4
KEY:x Autonomy|xethicalxprinciples MSC:x IntegratedxProcess:xCaring
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare
7. Axstudentxnursexasksxthexfacultyxtoxexplainxbestxpracticesxwhenxcommunicatingxwithxaxp
ersonxfromxthexlesbian,xgay,xbisexual,xtransgender,xandxqueer/questioningx(LGBTQ)xco
mmunity.xWhatxanswerxbyxthexfacultyxisxmostxaccurate?
a. Avoidxembarrassingxthexclientxbyxaskingxquestions.
b. Don’txmakexassumptionsxaboutxtheirxhealthxneeds.
c. MostxLGBTQxpeoplexdoxnotxwantxtoxsharexinformation.
d. Noxdifferencesxexistxinxcommunicatingxwithxthisxpopulation.
ANS:x B
ManyxmembersxofxthexLGBTQxcommunityxhavexfacedxdiscriminationxfromxhealthxcarexprovi
dersxandxmayxbexreluctantxtoxseekxhealthxcare.xThexnursexshouldxneverxmakexassumptionsxabo
utxthexneedsxofxmembersxofxthisxpopulation.xRather,xrespectfulxquestionsxarexappropriate.xIfxap
proachedxwithxsensitivity,xthexclientxwithxanyxhealthxcarexneedxisxmorexlikelyxtoxanswerxhonest
ly.
DIF: Understanding/Comprehension REF: 4
KEY:x LGBTQ|xdiversityxMSC:x IntegratedxProcess:xTeaching/Learning
NOT:x ClientxNeedsxCategory:xPsychosocialxIntegrity
8. Axnursexisxcallingxthexon-
callxphysicianxaboutxaxclientxwhoxhadxaxhysterectomyx2xdaysxagoxandxhasxpainxthatxisxunreliev
edxbyxthexprescribedxnarcoticxpainxmedication.xWhichxstatementxisxpartxofxthexSBARxformatxf
orxcommunication?
a. A:x“Ixwouldxlikexyouxtoxorderxaxdifferentxpainxmedication.”
b. B:x“Thisxclientxhasxallergiesxtoxmorphinexandxcodeine.”
c. R:x“Dr.xSmithxdoesn’txlikexnonsteroidalxanti-inflammatoryxmeds.”
d. S:x“Thisxclientxhadxaxvaginalxhysterectomyx2xdaysxago.”x
ANS:x B
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ogmmail.com
Distributionxofxthisxdocumentxisxillegal
Stuvia.com
x-xThexMarketplace
x- xtoxBuyxandxSellxyourxStudyxMaterial
xThe
ThexMarketplace Marketplacexto
toxBuyBuyxand
andxSellSellxyouryourxStu
dy
StudyxMaterialMaterial
TEST BANK x
FOR
MEDICAL SURGICAL NU x x
RSING 8TH EDITIONIGNA
x
x
x
VATICIUS
DownloaDdD
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2ir@
igmm
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a9ia6
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cm
ogmmail.com
Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
Chapter 1: Introduction to Medical-
x x x x
Surgical Nursing PracticeIgnatavicius: Medical-
x x x x
Surgical Nursing, 8th Edition
x x x
MULTIPLExCHOICE
1. Axnewxnursexisxworkingxwithxaxpreceptorxonxanxinpatientxmedical-
surgicalxunit.xThexpreceptorxadvisesxthexstudentxthatxwhichxisxthexpriorityxwhenxworking
xasxaxprofessionalx
nurse?
a. Attendingxtoxholisticxclientxneeds
b. Ensuringxclientxsafety
c. Notxmakingxmedicationxerrors
d. Providingxclient-focusedxcare
ANS:x B
Allxactionsxarexappropriatexforxthexprofessionalxnurse.xHowever,xensuringxclientxsafetyxisxthexp
riority.xUpxtox98,000xdeathsxresultxeachxyearxfromxerrorsxinxhospitalxcare,xaccordingxtoxthex200
0xInstitutexofxMedicinexreport.xManyxmorexclientsxhavexsufferedxinjuriesxandxlessxseriousxoutc
omes.xEveryxnursexhasxthexresponsibilityxtoxguardxthexclient’sxsafety.
DIF: Understanding/Comprehension REF: 2
KEY:x PatientxsafetyxMSC:x IntegratedxProcess:xNursingxProcess:xIntervention
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
2. Axnursexisxorientingxaxnewxclientxandxfamilyxtoxthexinpatientxunit.xWhatxinformationxdoesxthexn
ursexprovidextoxhelpxthexclientxpromotexhisxorxherxownxsafety?
a. Encouragexthexclientxandxfamilyxtoxbexactivexpartners.
b. Havexthexclientxmonitorxhandxhygienexinxcaregivers.
c. Offerxthexfamilyxthexopportunityxtoxstayxwithxthexclient.
d. Tellxthexclientxtoxalwaysxwearxhisxorxherxarmband.
ANS:x A
Eachxactionxcouldxbeximportantxforxthexclientxorxfamilyxtoxperform.xHowever,xencouragingxt
hexclientxtoxbexactivexinxhisxorxherxhealthxcarexasxaxpartnerxisxthexmostxcritical.xThexotherxacti
onsxarexveryxlimitedxinxscopexandxdoxnotxprovidexthexbroadxprotectionxthatxbeingxactivexandxi
nvolvedxdoes.
DIF: Understanding/Comprehension REF: 3
KEY:x PatientxsafetyxMSC:x IntegratedxProcess:xTeaching/Learning
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
3. Axnursexisxcaringxforxaxpostoperativexclientxonxthexsurgicalxunit.xThexclient’sxbloodxpressurex
wasx142/76xmmxHgx30xminutesxago,xandxnowxisx88/50xmmxHg.xWhatxactionxbyxthexnursexisxb
est?
a. CallxthexRapidxResponsexTeam.
b. Documentxandxcontinuextoxmonitor.
c. Notifyxthexprimaryxcarexprovider.
d. Repeatxbloodxpressurexmeasurementxinx15xminutes.
DownloaDdD
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ogmmail.com
Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
ANS:x A
ThexpurposexofxthexRapidxResponsexTeamx(RRT)xisxtoxintervenexwhenxclientsxarexdeteriorating
xbeforextheyxsufferxeitherxrespiratoryxorxcardiacxarrest.xSincexthexclientxhasxmanifestedxaxsignifi
cantxchange,xthexnursexshouldxcallxthexRRT.xChangesxinxbloodxpressure,xmentalxstatus,xheartxra
te,xandxpainxarexparticularlyxsignificant.xDocumentationxisxvital,xbutxthexnursexmustxdoxmorextha
nxdocument.xThexprimaryxcarexproviderxshouldxbexnotified,xbutxthisxisxnotxthexpriorityxoverxcalli
ngxthexRRT.xThexclient’sxbloodxpressurexshouldxbexreassessedxfrequently,xbutxthexpriorityxisxge
ttingxthexrapidxcarextoxthexclient.
DIF: Applying/Application REF:
3xKEY:x RapidxResponsexTeamx(RRT)|xmedicalxeme
rgencies
MSC:x IntegratedxProcess:xCommunicationxandxDocumentation
NOT:x ClientxNeedsxCategory:xPhysiologicalxIntegrity:xPhysiologicalxAdaptation
4. Axnursexwishesxtoxprovidexclient-
centeredxcarexinxallxinteractions.xWhichxactionxbyxthexnursexbestxdemonstratesxthisxconcept?
a. Assessesxforxculturalxinfluencesxaffectingxhealthxcare
b. Ensuresxthatxallxthexclients’xbasicxneedsxarexmet
c. Tellsxthexclientxandxfamilyxaboutxallxupcomingxtests
d. Thoroughlyxorientsxthexclientxandxfamilyxtoxthexroom
ANS:x A
Competencyxinxclient-
focusedxcarexisxdemonstratedxwhenxthexnursexfocusesxonxcommunication,xculture,xrespe
ct,xcompassion,xclientxeducation,xandxempowerment.xByxassessingxthexeffectxofxthexclien
t’sxculturexonxhealthxcare,xthisxnursexisxpracticing
client-
focusedxcare.xProvidingxforxbasicxneedsxdoesxnotxdemonstratexthisxcompetence.xSimplyxtelli
ngxthexclientxaboutxallxupcomingxtestsxisxnotxprovidingxempoweringxeducation.xOrientingxthe
xclientxandxfamilyxtoxthexroomxisxanximportantxsafetyxmeasure,xbutxnotxdirectlyxrelatedxtoxdem
onstratingxclient-centeredxcare.
DIF: Understanding/Comprehension REF: 3
KEY:x Patient-centeredxcare|xculture
MSC:x IntegratedxProcess:xCaringx
NOT:x ClientxNeedsxCategory:xPsychosocialxIntegrity
5. Axclientxisxgoingxtoxbexadmittedxforxaxscheduledxsurgicalxprocedure.xWhichxactionxdoesxthexn
ursexexplainxisxthexmostximportantxthingxthexclientxcanxdoxtoxprotectxagainstxerrors?
a. Bringxaxlistxofxallxmedicationsxandxwhatxtheyxarexfor.
b. Keepxthexdoctor’sxphonexnumberxbyxthextelephone.
c. Makexsurexallxprovidersxwashxhandsxbeforexenteringxthexroom.
d. Writexdownxthexnamexofxeachxcaregiverxwhoxcomesxinxthexroom.
ANS:x A
Medicationxerrorsxarexthexmostxcommonxtypexofxhealthxcarexmistake.xThexJointxCommissio
n’sxSpeakxUpxcampaignxencouragesxclientsxtoxhelpxensurextheirxsafety.xOnexrecommendatio
nxisxforxclientsxtoxknowxallxtheirxmedicationsxandxwhyxtheyxtakexthem.xThisxwillxhelpxprevent
xmedicationxerrors.
DIF: Applying/Application REF: 4
KEY:x SpeakxUpxcampaign|xpatientxsafety MSC:x IntegratedxProcess:xTeaching/Learning
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ogmmail.com
Distributionxofxthisxdocumentxisxillegal
, Stuvia.comx-
xThexMarketplacextoxBuyxandxSellxyourxStudyxMaterial
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xSafetyxandxInfectionxCont
rol
6. Whichxactionxbyxthexnursexworkingxwithxaxclientxbestxdemonstratesxrespectxforxautonomy?
a. Asksxifxthexclientxhasxquestionsxbeforexsigningxaxconsent
b. Givesxthexclientxaccuratexinformationxwhenxquestioned
c. Keepsxthexpromisesxmadextoxthexclientxandxfamily
d. Treatsxthexclientxfairlyxcomparedxtoxotherxclients
ANS:x A
Autonomyxisxself-
determination.xThexclientxshouldxmakexdecisionsxregardingxcare.xWhenxthexnursexobtainsxaxsig
naturexonxthexconsentxform,xassessingxifxthexclientxstillxhasxquestionsxisxvital,xbecausexwithoutxf
ullxinformationxthexclientxcannotxpracticexautonomy.xGivingxaccuratexinformationxisxpracticing
xwithxveracity.xKeepingxpromisesxisxupholdingxfidelity.xTreatingxthexclientxfairlyxisxprovidingxs
ocialxjustice.
DIF: Applying/Application REF: 4
KEY:x Autonomy|xethicalxprinciples MSC:x IntegratedxProcess:xCaring
NOT:x ClientxNeedsxCategory:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare
7. Axstudentxnursexasksxthexfacultyxtoxexplainxbestxpracticesxwhenxcommunicatingxwithxaxp
ersonxfromxthexlesbian,xgay,xbisexual,xtransgender,xandxqueer/questioningx(LGBTQ)xco
mmunity.xWhatxanswerxbyxthexfacultyxisxmostxaccurate?
a. Avoidxembarrassingxthexclientxbyxaskingxquestions.
b. Don’txmakexassumptionsxaboutxtheirxhealthxneeds.
c. MostxLGBTQxpeoplexdoxnotxwantxtoxsharexinformation.
d. Noxdifferencesxexistxinxcommunicatingxwithxthisxpopulation.
ANS:x B
ManyxmembersxofxthexLGBTQxcommunityxhavexfacedxdiscriminationxfromxhealthxcarexprovi
dersxandxmayxbexreluctantxtoxseekxhealthxcare.xThexnursexshouldxneverxmakexassumptionsxabo
utxthexneedsxofxmembersxofxthisxpopulation.xRather,xrespectfulxquestionsxarexappropriate.xIfxap
proachedxwithxsensitivity,xthexclientxwithxanyxhealthxcarexneedxisxmorexlikelyxtoxanswerxhonest
ly.
DIF: Understanding/Comprehension REF: 4
KEY:x LGBTQ|xdiversityxMSC:x IntegratedxProcess:xTeaching/Learning
NOT:x ClientxNeedsxCategory:xPsychosocialxIntegrity
8. Axnursexisxcallingxthexon-
callxphysicianxaboutxaxclientxwhoxhadxaxhysterectomyx2xdaysxagoxandxhasxpainxthatxisxunreliev
edxbyxthexprescribedxnarcoticxpainxmedication.xWhichxstatementxisxpartxofxthexSBARxformatxf
orxcommunication?
a. A:x“Ixwouldxlikexyouxtoxorderxaxdifferentxpainxmedication.”
b. B:x“Thisxclientxhasxallergiesxtoxmorphinexandxcodeine.”
c. R:x“Dr.xSmithxdoesn’txlikexnonsteroidalxanti-inflammatoryxmeds.”
d. S:x“Thisxclientxhadxaxvaginalxhysterectomyx2xdaysxago.”x
ANS:x B
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Distributionxofxthisxdocumentxisxillegal
