lOMoAR cPSD| 9719818
Test bank - medical surgical nursing 10th edition
S S S S S S S
, lOMoAR cPSD| 9719818
Medical Surgical Nursing 10th EditionI
S S S S S
gnatavicius Workman Test Bank S S S
Chapter 01: Overview of Professional Nursing Concepts for Medical-
S S S S S S S S
Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
S S S S S S
MULTIPLESCHOICE
1. ASnewSnurseSisSworkingSwithSaSpreceptorSonSaSmedical-
surgicalSunit.STheSpreceptorSadvisesStheSnewSnurseSthatSwhichSisStheSprioritySwhenSworkingSasSa
SprofessionalSnurse?
a. AttendingStoSholisticSclientSneeds
b. EnsuringSclientSsafety
c. NotSmakingSmedicationSerrors
d. ProvidingSclient-focusedScare
ANS:S B
AllSactionsSareSappropriateSforStheSprofessionalSnurse.SHowever,SensuringSclientSsafetySisStheS
priority.SHealthScareSerrorsShaveSbeenSwidelySreportedSforS25Syears,SmanySofSwhichSresultSinSc
lientSinjury,Sdeath,SandSincreasedShealthScareScosts.SThereSareSseveralSnationalSandSinternatio
nalSorganizationsSthatShaveSeitherSrecommendedSorSmandatedSsafetySinitiatives.
EverySnurseShasStheSresponsibilityStoSguardStheSclient’sSsafety.STheSotherSactionsSareSimportantS
forSqualitySnursing,SbutStheySareSnotSasSvitalSasSprovidingSsafety.SNotSmakingSmedicationSerrorsS
doesSprovideSsafety,SbutSisStooSnarrowSinSscopeStoSbeStheSbestSanswer.
DIF: Understanding
TOP:S IntegratedSProcess:SNursingSProcess:SInterventionSKEY:S ClientSsafety
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
2. ASnurseSisSorientingSaSnewSclientSandSfamilyStoStheSmedical-
surgicalSunit.SWhatSinformationSdoesStheSnurseSprovideStoSbestShelpStheSclientSpromoteShisSor
SherSownSsafety?
a. EncourageStheSclientSandSfamilyStoSbeSactiveSpartners.
b. HaveStheSclientSmonitorShandShygieneSinScaregivers.
c. OfferStheSfamilyStheSopportunityStoSstaySwithStheSclient.
d. TellStheSclientStoSalwaysSwearShisSorSherSarmband.
ANS:S A
EachSactionScouldSbeSimportantSforStheSclientSorSfamilyStoSperform.SHowever,SencouragingStheS
clientStoSbeSactiveSinShisSorSherShealthScareSasSaSsafetySpartnerSisStheSmostScritical.STheSotherSacti
onsSareSverySlimitedSinSscopeSandSdoSnotSprovideStheSbroadSprotectionSthatSbeingSactiveSandSinvo
lvedSdoes.
DIF: Understanding
TOP:SIntegratedSProcess:STeaching/LearningSKEY:S ClientSsafety
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
3. ASnurseSisScaringSforSaSpostoperativeSclientSonStheSsurgicalSunit.STheSclient’sSbloodSpressureS
wasS142/76SmmSHgS30SminutesSago,SandSnowSisS88/50SmmSHg.SWhatSactionSwouldStheSnurseSt
akeSfirst?
a. CallStheSRapidSResponseSTeam.
b. DocumentSandScontinueStoSmonitor.
c. NotifyStheSprimaryShealthScareSprovider.
d. RepeatStheSbloodSpressureSinS15Sminutes.
Btestbanks.com
)
, lOMoAR cPSD| 9719818
ANS:S A
TheSpurposeSofStheSRapidSResponseSTeamS(RRT)SisStoSinterveneSwhenSclientsSareSdeterioratingS
beforeStheySsufferSeitherSrespiratorySorScardiacSarrest.SSinceStheSclientShasSmanifestedSaSsignific
antSchange,StheSnurseSwouldScallStheSRRT.SChangesSinSbloodSpressure,SmentalSstatus,SheartSrate,
Stemperature,SoxygenSsaturation,SandSlastS2Shours’SurineSoutputSareSparticularlySsignificantSandS
areSpartSofStheSModifiedSEarlySWarningSSystemSguide.SDocumentationSisSvital,SbutStheSnurseSm
ustSdoSmoreSthanSdocument.STheSprimaryShealthScareSproviderSwouldSbeSnotified,SbutSthisSisSnot
SmoreSimportantSthanScallingStheSRRT.STheSclient’sSbloodSpressureSwouldSbeSreassessedSfreque
ntly,SbutStheSprioritySisSgettingStheSrapidScareStoStheSclient.
DIF: Applying
TOP:S IntegratedSProcess:SCommunicationSandSDocumentationSKEY:S RapidSR
esponseSTeamS(RRT),SClinicalSjudgment
MSC:S ClientSNeedsSCategory:SPhysiologicalSIntegrity:SPhysiologicalSAdaptation
4. ASnurseSwishesStoSprovideSclient-centeredScareSinSallSinteractions.SWhichSactionSbyStheSnurse
bestSdemonstratesSthisSconcept?
a. AssessesSforSculturalSinfluencesSaffectingShealthScare.
b. EnsuresSthatSallStheSclient’sSbasicSneedsSareSmet.
c. TellsStheSclientSandSfamilySaboutSallSupcomingStests.
d. ThoroughlySorientsStheSclientSandSfamilyStoStheSroom.
ANS:S A
ShowingSrespectSforStheSclientSandSfamily’sSpreferencesSandSneedsSisSessentialStoSensureSaSholi
sticSorS“whole-
person”SapproachStoScare.SBySassessingStheSeffectSofStheSclient’sScultureSonShealthScare,SthisSnur
seSisSpracticingSclient-
focusedScare.SProvidingSforSbasicSneedsSdoesSnotSdemonstrateSthisScompetence.SSimplyStelling
StheSclientSaboutSallSupcomingStestsSisSnotSprovidingSempoweringSeducation.SOrientingStheSclie
ntSandSfamilyStoStheSroomSisSanSimportantSsafetySmeasure,SbutSnotSdirectlySrelatedStoSdemonstra
tingSclient-centeredScare.
DIF: Understanding
TOP:SIntegratedSProcess:SCultureSandSSpiritualitySKEY:S Client-centeredScare,SCulture
MSC:S ClientSNeedsSCategory:SPsychosocialSIntegrity
5. ASclientSisSgoingStoSbeSadmittedSforSaSscheduledSsurgicalSprocedure.SWhichSactionSdoesStheS
nurseSexplainSisStheSmostSimportantSthingStheSclientScanSdoStoSprotectSagainstSerrors?
a. BringSaSlistSofSallSmedicationsSandSwhatStheySareSfor.
b. KeepStheSprovider’sSphoneSnumberSbyStheStelephone.
c. MakeSsureSthatSallSprovidersSwashShandsSbeforeSenteringStheSroom.
d. WriteSdownStheSnameSofSeachScaregiverSwhoScomesSinStheSroom.
ANS:S A
MedicationSreconciliationSisSaSformalSprocessSinSwhichStheSclient’sSactualScurrentSmedicationsS
areScomparedStoStheSprescribedSmedicationsSatStheStimeSofSadmission,Stransfer,SorSdischarge.ST
hisSNationalSclientSSafetySGoalSisSimportantStoSreduceSmedicationSerrors.STheSclientSwouldSnot
ShaveStoSbeSresponsibleSforSprovidersSwashingStheirShands,SandSevenSifStheSclientSdoesSso,SthisSi
sStooSnarrowStoSbeStheSmostSimportantSactionStoSpreventSerrors.SKeepingStheSprovider’sSphoneS
numberSnearbySandSdocumentingSeveryoneSwhoSentersStheSroomSalsoSdoSnotSguaranteeSsafety.
DIF: Applying
TOP:S IntegratedSProcess:STeaching/LearningSKEY:S ClientSs
afety,SInformatics
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
, lOMoAR cPSD| 9719818
6. WhichSactionSbyStheSnurseSworkingSwithSaSclientSbestSdemonstratesSrespectSforSautonomy?
a. AsksSifStheSclientShasSquestionsSbeforeSsigningSaSconsent.
b. GivesStheSclientSaccurateSinformationSwhenSquestioned.
c. KeepsStheSpromisesSmadeStoStheSclientSandSfamily.
d. TreatsStheSclientSfairlyScomparedStoSotherSclients.
ANS:S A
AutonomySisSself-
determination.STheSclientSwouldSmakeSdecisionsSregardingScare.SWhenStheSnurseSobtainsSaSsign
atureSonStheSconsentSform,SassessingSifStheSclientSstillShasSquestionsSisSvital,SbecauseSwithoutSfull
SinformationStheSclientScannotSpracticeSautonomy.SGivingSaccurateSinformationSisSpracticingSwi
thSveracity.SKeepingSpromisesSisSupholdingSfidelity.STreatingStheSclientSfairlySisSprovidingSsocia
lSjustice.
DIF: Applying TOP:S IntegratedSProcess:SCaring
KEY:SEthics,SAutonomySMSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnv
ironment:SManagementSofSCare
7. ASnurseSasksSaSmoreSseasonedScolleagueStoSexplainSbestSpracticesSwhenScommunicatingSwithSaS
personSfromStheSlesbian,Sgay,Sbisexual,Stransgender,SandSquestioning/queerS(LGBTQ)Scommun
ity.SWhatSanswerSbyStheSfacultySisSmostSaccurate?
a. AvoidSembarrassingStheSclientSbySaskingSquestions.
b. Don’tSmakeSassumptionsSaboutShisSorSherShealthSneeds.
c. MostSLGBTQSpeopleSdoSnotSwantStoSshareSinformation.
d. NoSdifferencesSexistSinScommunicatingSwithSthisSpopulation.
ANS:S B
ManySmembersSofStheSLGBTQScommunityShaveSfacedSdiscriminationSfromShealthScareSprovide
rsSandSmaySbeSreluctantStoSseekShealthScare.STheSnurseSwouldSneverSmakeSassumptionsSaboutSth
eSneedsSofSmembersSofSthisSpopulation.SRather,SrespectfulSquestionsSareSappropriate.SIfSapproac
hedSwithSsensitivity,StheSclientSwithSanyShealthScareSneedSisSmoreSlikelyStoSanswerShonestly.
DIF: Understanding TOP:S IntegratedSProcess:STeaching/Learning
KEY:S HealthScareSdisparities,SLGBTQ MSC:S ClientSNeedsSCategory:SPsychosocialSIntegrity
8. ASnurseSisScallingStheSon-
callShealthScareSproviderSaboutSaSclientSwhoShadSaShysterectomyS2SdaysSagoSandShasSpainStha
tSisSunrelievedSbyStheSprescribedSopioidSpainSmedication.SWhichSstatementScomprisesStheSb
ackgroundSportionSofStheSSBARSformatSforScommunication?
a. “ISwouldSlikeSyouStoSorderSaSdifferentSpainSmedication.”
b. “ThisSclientShasSallergiesStoSmorphineSandScodeine.”
c. “Dr.SSmithSdoesn’tSlikeSnonsteroidalSanti-inflammatorySmeds.”
d. “ThisSclientShadSaSvaginalShysterectomyS2SdaysSago.”
ANS:S B
)
Test bank - medical surgical nursing 10th edition
S S S S S S S
, lOMoAR cPSD| 9719818
Medical Surgical Nursing 10th EditionI
S S S S S
gnatavicius Workman Test Bank S S S
Chapter 01: Overview of Professional Nursing Concepts for Medical-
S S S S S S S S
Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
S S S S S S
MULTIPLESCHOICE
1. ASnewSnurseSisSworkingSwithSaSpreceptorSonSaSmedical-
surgicalSunit.STheSpreceptorSadvisesStheSnewSnurseSthatSwhichSisStheSprioritySwhenSworkingSasSa
SprofessionalSnurse?
a. AttendingStoSholisticSclientSneeds
b. EnsuringSclientSsafety
c. NotSmakingSmedicationSerrors
d. ProvidingSclient-focusedScare
ANS:S B
AllSactionsSareSappropriateSforStheSprofessionalSnurse.SHowever,SensuringSclientSsafetySisStheS
priority.SHealthScareSerrorsShaveSbeenSwidelySreportedSforS25Syears,SmanySofSwhichSresultSinSc
lientSinjury,Sdeath,SandSincreasedShealthScareScosts.SThereSareSseveralSnationalSandSinternatio
nalSorganizationsSthatShaveSeitherSrecommendedSorSmandatedSsafetySinitiatives.
EverySnurseShasStheSresponsibilityStoSguardStheSclient’sSsafety.STheSotherSactionsSareSimportantS
forSqualitySnursing,SbutStheySareSnotSasSvitalSasSprovidingSsafety.SNotSmakingSmedicationSerrorsS
doesSprovideSsafety,SbutSisStooSnarrowSinSscopeStoSbeStheSbestSanswer.
DIF: Understanding
TOP:S IntegratedSProcess:SNursingSProcess:SInterventionSKEY:S ClientSsafety
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
2. ASnurseSisSorientingSaSnewSclientSandSfamilyStoStheSmedical-
surgicalSunit.SWhatSinformationSdoesStheSnurseSprovideStoSbestShelpStheSclientSpromoteShisSor
SherSownSsafety?
a. EncourageStheSclientSandSfamilyStoSbeSactiveSpartners.
b. HaveStheSclientSmonitorShandShygieneSinScaregivers.
c. OfferStheSfamilyStheSopportunityStoSstaySwithStheSclient.
d. TellStheSclientStoSalwaysSwearShisSorSherSarmband.
ANS:S A
EachSactionScouldSbeSimportantSforStheSclientSorSfamilyStoSperform.SHowever,SencouragingStheS
clientStoSbeSactiveSinShisSorSherShealthScareSasSaSsafetySpartnerSisStheSmostScritical.STheSotherSacti
onsSareSverySlimitedSinSscopeSandSdoSnotSprovideStheSbroadSprotectionSthatSbeingSactiveSandSinvo
lvedSdoes.
DIF: Understanding
TOP:SIntegratedSProcess:STeaching/LearningSKEY:S ClientSsafety
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
3. ASnurseSisScaringSforSaSpostoperativeSclientSonStheSsurgicalSunit.STheSclient’sSbloodSpressureS
wasS142/76SmmSHgS30SminutesSago,SandSnowSisS88/50SmmSHg.SWhatSactionSwouldStheSnurseSt
akeSfirst?
a. CallStheSRapidSResponseSTeam.
b. DocumentSandScontinueStoSmonitor.
c. NotifyStheSprimaryShealthScareSprovider.
d. RepeatStheSbloodSpressureSinS15Sminutes.
Btestbanks.com
)
, lOMoAR cPSD| 9719818
ANS:S A
TheSpurposeSofStheSRapidSResponseSTeamS(RRT)SisStoSinterveneSwhenSclientsSareSdeterioratingS
beforeStheySsufferSeitherSrespiratorySorScardiacSarrest.SSinceStheSclientShasSmanifestedSaSsignific
antSchange,StheSnurseSwouldScallStheSRRT.SChangesSinSbloodSpressure,SmentalSstatus,SheartSrate,
Stemperature,SoxygenSsaturation,SandSlastS2Shours’SurineSoutputSareSparticularlySsignificantSandS
areSpartSofStheSModifiedSEarlySWarningSSystemSguide.SDocumentationSisSvital,SbutStheSnurseSm
ustSdoSmoreSthanSdocument.STheSprimaryShealthScareSproviderSwouldSbeSnotified,SbutSthisSisSnot
SmoreSimportantSthanScallingStheSRRT.STheSclient’sSbloodSpressureSwouldSbeSreassessedSfreque
ntly,SbutStheSprioritySisSgettingStheSrapidScareStoStheSclient.
DIF: Applying
TOP:S IntegratedSProcess:SCommunicationSandSDocumentationSKEY:S RapidSR
esponseSTeamS(RRT),SClinicalSjudgment
MSC:S ClientSNeedsSCategory:SPhysiologicalSIntegrity:SPhysiologicalSAdaptation
4. ASnurseSwishesStoSprovideSclient-centeredScareSinSallSinteractions.SWhichSactionSbyStheSnurse
bestSdemonstratesSthisSconcept?
a. AssessesSforSculturalSinfluencesSaffectingShealthScare.
b. EnsuresSthatSallStheSclient’sSbasicSneedsSareSmet.
c. TellsStheSclientSandSfamilySaboutSallSupcomingStests.
d. ThoroughlySorientsStheSclientSandSfamilyStoStheSroom.
ANS:S A
ShowingSrespectSforStheSclientSandSfamily’sSpreferencesSandSneedsSisSessentialStoSensureSaSholi
sticSorS“whole-
person”SapproachStoScare.SBySassessingStheSeffectSofStheSclient’sScultureSonShealthScare,SthisSnur
seSisSpracticingSclient-
focusedScare.SProvidingSforSbasicSneedsSdoesSnotSdemonstrateSthisScompetence.SSimplyStelling
StheSclientSaboutSallSupcomingStestsSisSnotSprovidingSempoweringSeducation.SOrientingStheSclie
ntSandSfamilyStoStheSroomSisSanSimportantSsafetySmeasure,SbutSnotSdirectlySrelatedStoSdemonstra
tingSclient-centeredScare.
DIF: Understanding
TOP:SIntegratedSProcess:SCultureSandSSpiritualitySKEY:S Client-centeredScare,SCulture
MSC:S ClientSNeedsSCategory:SPsychosocialSIntegrity
5. ASclientSisSgoingStoSbeSadmittedSforSaSscheduledSsurgicalSprocedure.SWhichSactionSdoesStheS
nurseSexplainSisStheSmostSimportantSthingStheSclientScanSdoStoSprotectSagainstSerrors?
a. BringSaSlistSofSallSmedicationsSandSwhatStheySareSfor.
b. KeepStheSprovider’sSphoneSnumberSbyStheStelephone.
c. MakeSsureSthatSallSprovidersSwashShandsSbeforeSenteringStheSroom.
d. WriteSdownStheSnameSofSeachScaregiverSwhoScomesSinStheSroom.
ANS:S A
MedicationSreconciliationSisSaSformalSprocessSinSwhichStheSclient’sSactualScurrentSmedicationsS
areScomparedStoStheSprescribedSmedicationsSatStheStimeSofSadmission,Stransfer,SorSdischarge.ST
hisSNationalSclientSSafetySGoalSisSimportantStoSreduceSmedicationSerrors.STheSclientSwouldSnot
ShaveStoSbeSresponsibleSforSprovidersSwashingStheirShands,SandSevenSifStheSclientSdoesSso,SthisSi
sStooSnarrowStoSbeStheSmostSimportantSactionStoSpreventSerrors.SKeepingStheSprovider’sSphoneS
numberSnearbySandSdocumentingSeveryoneSwhoSentersStheSroomSalsoSdoSnotSguaranteeSsafety.
DIF: Applying
TOP:S IntegratedSProcess:STeaching/LearningSKEY:S ClientSs
afety,SInformatics
MSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnvironment:SSafetySandSInfectionSControl
, lOMoAR cPSD| 9719818
6. WhichSactionSbyStheSnurseSworkingSwithSaSclientSbestSdemonstratesSrespectSforSautonomy?
a. AsksSifStheSclientShasSquestionsSbeforeSsigningSaSconsent.
b. GivesStheSclientSaccurateSinformationSwhenSquestioned.
c. KeepsStheSpromisesSmadeStoStheSclientSandSfamily.
d. TreatsStheSclientSfairlyScomparedStoSotherSclients.
ANS:S A
AutonomySisSself-
determination.STheSclientSwouldSmakeSdecisionsSregardingScare.SWhenStheSnurseSobtainsSaSsign
atureSonStheSconsentSform,SassessingSifStheSclientSstillShasSquestionsSisSvital,SbecauseSwithoutSfull
SinformationStheSclientScannotSpracticeSautonomy.SGivingSaccurateSinformationSisSpracticingSwi
thSveracity.SKeepingSpromisesSisSupholdingSfidelity.STreatingStheSclientSfairlySisSprovidingSsocia
lSjustice.
DIF: Applying TOP:S IntegratedSProcess:SCaring
KEY:SEthics,SAutonomySMSC:S ClientSNeedsSCategory:SSafeSandSEffectiveSCareSEnv
ironment:SManagementSofSCare
7. ASnurseSasksSaSmoreSseasonedScolleagueStoSexplainSbestSpracticesSwhenScommunicatingSwithSaS
personSfromStheSlesbian,Sgay,Sbisexual,Stransgender,SandSquestioning/queerS(LGBTQ)Scommun
ity.SWhatSanswerSbyStheSfacultySisSmostSaccurate?
a. AvoidSembarrassingStheSclientSbySaskingSquestions.
b. Don’tSmakeSassumptionsSaboutShisSorSherShealthSneeds.
c. MostSLGBTQSpeopleSdoSnotSwantStoSshareSinformation.
d. NoSdifferencesSexistSinScommunicatingSwithSthisSpopulation.
ANS:S B
ManySmembersSofStheSLGBTQScommunityShaveSfacedSdiscriminationSfromShealthScareSprovide
rsSandSmaySbeSreluctantStoSseekShealthScare.STheSnurseSwouldSneverSmakeSassumptionsSaboutSth
eSneedsSofSmembersSofSthisSpopulation.SRather,SrespectfulSquestionsSareSappropriate.SIfSapproac
hedSwithSsensitivity,StheSclientSwithSanyShealthScareSneedSisSmoreSlikelyStoSanswerShonestly.
DIF: Understanding TOP:S IntegratedSProcess:STeaching/Learning
KEY:S HealthScareSdisparities,SLGBTQ MSC:S ClientSNeedsSCategory:SPsychosocialSIntegrity
8. ASnurseSisScallingStheSon-
callShealthScareSproviderSaboutSaSclientSwhoShadSaShysterectomyS2SdaysSagoSandShasSpainStha
tSisSunrelievedSbyStheSprescribedSopioidSpainSmedication.SWhichSstatementScomprisesStheSb
ackgroundSportionSofStheSSBARSformatSforScommunication?
a. “ISwouldSlikeSyouStoSorderSaSdifferentSpainSmedication.”
b. “ThisSclientShasSallergiesStoSmorphineSandScodeine.”
c. “Dr.SSmithSdoesn’tSlikeSnonsteroidalSanti-inflammatorySmeds.”
d. “ThisSclientShadSaSvaginalShysterectomyS2SdaysSago.”
ANS:S B
)