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Medical Surgical Nursing 10th EditionIgnat
d d d d d
avicius Workman Test Bank
d d d
Chapterd 01:d Overviewd ofd Professionald Nursingd Conceptsd ford Medical-
Surgicald NursingdIgnatavicius:dMedical-SurgicaldNursing,d10thdEdition
MULTIPLEdCHOICE
1. Adnewdnursedisdworkingdwithdadpreceptordondadmedical-
surgicaldunit.dThedpreceptordadvisesdthednewdnursedthatdwhichdisdthedprioritydwhendworking
dasdadprofessional dnurse?
a. Attendingdtodholisticdclientdneeds
b. Ensuringdclientdsafety
c. Notdmakingdmedicationderrors
d. Providingdclient-focuseddcare
ANS:d B
Alldactionsdaredappropriatedfordthedprofessionaldnurse.dHowever,densuringdclientdsafetydis
dthedpriority.dHealthdcarederrorsdhavedbeendwidelydreporteddford25dyears,dmanydofdwhichdr
esultdindclientdinjury,ddeath,danddincreaseddhealthdcaredcosts.dTheredaredseveraldnationalda
nddinternational dorganizationsdthatdhavedeitherdrecommendeddordmandateddsafetydinitiativ
es.
Everydnursedhasdthedresponsibilitydtodguarddthedclient’sdsafety.dThedotherdactionsdaredimporta
nt
fordqualitydnursing,dbutdtheydarednotdasdvitaldasdprovidingdsafety.dNotdmakingdmedicationder
rorsddoesdprovidedsafety,dbutdisdtoodnarrowdindscopedtodbedthedbestdanswer.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dNursingdProcess:dIntervention
dKEY:d Clientdsafety
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
2. Adnursedisdorientingdadnewdclientdanddfamilydtodthedmedical-
surgicaldunit.dWhatdinformationddoesdthednursedprovidedtodbestdhelpdthedclientdpromotedh
isdordherdowndsafety?
a. Encouragedthedclientdanddfamilydtodbedactivedpartners.
b. Havedthedclientdmonitordhanddhygienedindcaregivers.
c. Offerdthedfamilydthedopportunitydtodstaydwithdthedclient.
d. Telldthedclientdtodalwaysdweardhisdordherdarmband.
ANS:d A
Eachdactiondcoulddbedimportantdfordthedclientdordfamilydtodperform.dHowever,dencouraging
dthedclient dtodbedactivedindhisdordherdhealthdcaredasdadsafetydpartnerdisdthedmostdcritical.dTh
edotherdactionsdaredverydlimiteddindscopedandddodnotdprovidedthedbroaddprotectiondthatdbein
gdactivedanddinvolvedddoes.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dTeaching/Learnin
gdKEY:d Clientdsafety
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
3. Adnursedisdcaringdfordadpostoperativedclientdondthedsurgicaldunit.dThedclient’sdblooddpress
uredwasd142/76dmmdHgd30dminutesdago,danddnowdisd88/50dmmdHg.dWhatdactiondwoulddt
hednursedtakedfirst?
a. CalldthedRapiddResponsedTeam.
b. Documentdanddcontinuedtodmonitor.
c. Notifydthedprimarydhealthdcaredprovider.
d. Repeatdthedblooddpressuredind15dminutes.
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ANS:d A
ThedpurposedofdthedRapiddResponsedTeamd(RRT)disdtodintervenedwhendclientsdareddeteriora
tingdbeforedtheydsufferdeitherdrespiratorydordcardiacdarrest.dSincedthedclientdhasdmanifestedd
adsignificantdchange,dthednursedwoulddcalldthedRRT.dChangesdindblooddpressure,dmentaldsta
tus,dheartdrate,dtemperature,doxygendsaturation,danddlastd2dhours’durinedoutputdaredparticular
lydsignificantdanddaredpartdofdthedModifieddEarlydWarningdSystemdguide.dDocumentationdi
sdvital,dbutdthednursedmustddodmoredthanddocument.dThedprimarydhealthdcaredproviderdwoul
ddbednotified,dbutdthisdisdnotdmoredimportantdthandcallingdthedRRT.dThedclient’sdblooddpres
suredwoulddbedreassesseddfrequently,dbutdthedprioritydisdgettingdthedrapiddcaredtodthedclient.
DIF:ddd Applying
TOP:d IntegrateddProcess:dCommunicationdanddDocumentati
ondKEY:d RapiddResponsedTeamd(RRT),dClinicaldjudgment
MSC:d ClientdNeedsdCategory:dPhysiologicaldIntegrity:dPhysiologicaldAdaptation
4. Adnursedwishesdtodprovidedclient-centereddcaredindalldinteractions.dWhichdactiondbydthednurse
bestddemonstratesdthisdconcept?
a. Assessesdfordculturaldinfluencesdaffectingdhealthdcare.
b. Ensuresdthatdalldthedclient’sdbasicdneedsdaredmet.
c. Tellsdthedclientdanddfamilydaboutdalldupcomingdtests.
d. Thoroughlydorientsdthedclientdanddfamilydtodthedroom.
ANS:d A
Showingdrespectdfordthedclientdanddfamily’sdpreferencesdanddneedsdisdessentialdtodensureda
dholisticdord“whole-
person”dapproachdtodcare.dBydassessingdthedeffectdofdthedclient’sdculturedondhealthdcare,dthi
sdnursedisdpracticingdclient-
focuseddcare.dProvidingdfordbasicdneedsddoesdnotddemonstratedthisdcompetence.dSimplydte
llingdthedclientdaboutdalldupcomingdtestsdisdnotdprovidingdempoweringdeducation.dOrientin
gdthedclientdanddfamilydtodthedroomdisdandimportantdsafetydmeasure,dbutdnotddirectlydrelate
ddtoddemonstratingdclient-centereddcare.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dCulturedanddSpiritualityd
KEY:d Client-centereddcare,dCulture
MSC:d ClientdNeedsdCategory:dPsychosocialdIntegri
ty
5. Adclientdisdgoingdtodbedadmitteddfordadscheduleddsurgicaldprocedure.dWhichdactionddoes
dthednursedexplaindisdthedmostdimportant dthingdthedclientdcanddodtodprotect dagainst derror
s?
a. Bringdadlistdofdalldmedicationsdanddwhatdtheydaredfor.
b. Keepdthedprovider’sdphonednumberdbydthedtelephone.
c. Makedsuredthatdalldprovidersdwashdhandsdbeforedenteringdthedroom.
d. Writeddowndthednamedofdeachdcaregiverdwhodcomesdindthedroom.
ANS:d A
Medicationdreconciliationdisdadformaldprocessdindwhichdthedclient’sdactualdcurrentdmedicati
onsdaredcompareddtodthedprescribeddmedicationsdatdthedtimedofdadmission,dtransfer,dorddisc
harge.dThisdNationaldclientdSafetydGoaldisdimportantdtodreducedmedicationderrors.dThedclie
ntdwoulddnotdhavedtodbedresponsibledfordprovidersdwashingdtheirdhands,danddevendifdthedcl
ientddoesdso,dthisdisdtoodnarrowdtodbedthedmostdimportantdactiondtodpreventderrors.dKeepin
gdthedprovider’sdphonednumberdnearbydandddocumentingdeveryonedwhodentersdthedroomda
lsoddodnotdguaranteedsafety.
DIF:ddd Applying
TOP:d IntegrateddProcess:dTeaching/Learnin
gdKEY:d Clientdsafety,dInformatics
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
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Medical Surgical Nursing 10th EditionIgnat
d d d d d
avicius Workman Test Bank
d d d
Chapterd 01:d Overviewd ofd Professionald Nursingd Conceptsd ford Medical-
Surgicald NursingdIgnatavicius:dMedical-SurgicaldNursing,d10thdEdition
MULTIPLEdCHOICE
1. Adnewdnursedisdworkingdwithdadpreceptordondadmedical-
surgicaldunit.dThedpreceptordadvisesdthednewdnursedthatdwhichdisdthedprioritydwhendworking
dasdadprofessional dnurse?
a. Attendingdtodholisticdclientdneeds
b. Ensuringdclientdsafety
c. Notdmakingdmedicationderrors
d. Providingdclient-focuseddcare
ANS:d B
Alldactionsdaredappropriatedfordthedprofessionaldnurse.dHowever,densuringdclientdsafetydis
dthedpriority.dHealthdcarederrorsdhavedbeendwidelydreporteddford25dyears,dmanydofdwhichdr
esultdindclientdinjury,ddeath,danddincreaseddhealthdcaredcosts.dTheredaredseveraldnationalda
nddinternational dorganizationsdthatdhavedeitherdrecommendeddordmandateddsafetydinitiativ
es.
Everydnursedhasdthedresponsibilitydtodguarddthedclient’sdsafety.dThedotherdactionsdaredimporta
nt
fordqualitydnursing,dbutdtheydarednotdasdvitaldasdprovidingdsafety.dNotdmakingdmedicationder
rorsddoesdprovidedsafety,dbutdisdtoodnarrowdindscopedtodbedthedbestdanswer.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dNursingdProcess:dIntervention
dKEY:d Clientdsafety
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
2. Adnursedisdorientingdadnewdclientdanddfamilydtodthedmedical-
surgicaldunit.dWhatdinformationddoesdthednursedprovidedtodbestdhelpdthedclientdpromotedh
isdordherdowndsafety?
a. Encouragedthedclientdanddfamilydtodbedactivedpartners.
b. Havedthedclientdmonitordhanddhygienedindcaregivers.
c. Offerdthedfamilydthedopportunitydtodstaydwithdthedclient.
d. Telldthedclientdtodalwaysdweardhisdordherdarmband.
ANS:d A
Eachdactiondcoulddbedimportantdfordthedclientdordfamilydtodperform.dHowever,dencouraging
dthedclient dtodbedactivedindhisdordherdhealthdcaredasdadsafetydpartnerdisdthedmostdcritical.dTh
edotherdactionsdaredverydlimiteddindscopedandddodnotdprovidedthedbroaddprotectiondthatdbein
gdactivedanddinvolvedddoes.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dTeaching/Learnin
gdKEY:d Clientdsafety
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
3. Adnursedisdcaringdfordadpostoperativedclientdondthedsurgicaldunit.dThedclient’sdblooddpress
uredwasd142/76dmmdHgd30dminutesdago,danddnowdisd88/50dmmdHg.dWhatdactiondwoulddt
hednursedtakedfirst?
a. CalldthedRapiddResponsedTeam.
b. Documentdanddcontinuedtodmonitor.
c. Notifydthedprimarydhealthdcaredprovider.
d. Repeatdthedblooddpressuredind15dminutes.
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ANS:d A
ThedpurposedofdthedRapiddResponsedTeamd(RRT)disdtodintervenedwhendclientsdareddeteriora
tingdbeforedtheydsufferdeitherdrespiratorydordcardiacdarrest.dSincedthedclientdhasdmanifestedd
adsignificantdchange,dthednursedwoulddcalldthedRRT.dChangesdindblooddpressure,dmentaldsta
tus,dheartdrate,dtemperature,doxygendsaturation,danddlastd2dhours’durinedoutputdaredparticular
lydsignificantdanddaredpartdofdthedModifieddEarlydWarningdSystemdguide.dDocumentationdi
sdvital,dbutdthednursedmustddodmoredthanddocument.dThedprimarydhealthdcaredproviderdwoul
ddbednotified,dbutdthisdisdnotdmoredimportantdthandcallingdthedRRT.dThedclient’sdblooddpres
suredwoulddbedreassesseddfrequently,dbutdthedprioritydisdgettingdthedrapiddcaredtodthedclient.
DIF:ddd Applying
TOP:d IntegrateddProcess:dCommunicationdanddDocumentati
ondKEY:d RapiddResponsedTeamd(RRT),dClinicaldjudgment
MSC:d ClientdNeedsdCategory:dPhysiologicaldIntegrity:dPhysiologicaldAdaptation
4. Adnursedwishesdtodprovidedclient-centereddcaredindalldinteractions.dWhichdactiondbydthednurse
bestddemonstratesdthisdconcept?
a. Assessesdfordculturaldinfluencesdaffectingdhealthdcare.
b. Ensuresdthatdalldthedclient’sdbasicdneedsdaredmet.
c. Tellsdthedclientdanddfamilydaboutdalldupcomingdtests.
d. Thoroughlydorientsdthedclientdanddfamilydtodthedroom.
ANS:d A
Showingdrespectdfordthedclientdanddfamily’sdpreferencesdanddneedsdisdessentialdtodensureda
dholisticdord“whole-
person”dapproachdtodcare.dBydassessingdthedeffectdofdthedclient’sdculturedondhealthdcare,dthi
sdnursedisdpracticingdclient-
focuseddcare.dProvidingdfordbasicdneedsddoesdnotddemonstratedthisdcompetence.dSimplydte
llingdthedclientdaboutdalldupcomingdtestsdisdnotdprovidingdempoweringdeducation.dOrientin
gdthedclientdanddfamilydtodthedroomdisdandimportantdsafetydmeasure,dbutdnotddirectlydrelate
ddtoddemonstratingdclient-centereddcare.
DIF:ddd Understanding
TOP:dIntegrateddProcess:dCulturedanddSpiritualityd
KEY:d Client-centereddcare,dCulture
MSC:d ClientdNeedsdCategory:dPsychosocialdIntegri
ty
5. Adclientdisdgoingdtodbedadmitteddfordadscheduleddsurgicaldprocedure.dWhichdactionddoes
dthednursedexplaindisdthedmostdimportant dthingdthedclientdcanddodtodprotect dagainst derror
s?
a. Bringdadlistdofdalldmedicationsdanddwhatdtheydaredfor.
b. Keepdthedprovider’sdphonednumberdbydthedtelephone.
c. Makedsuredthatdalldprovidersdwashdhandsdbeforedenteringdthedroom.
d. Writeddowndthednamedofdeachdcaregiverdwhodcomesdindthedroom.
ANS:d A
Medicationdreconciliationdisdadformaldprocessdindwhichdthedclient’sdactualdcurrentdmedicati
onsdaredcompareddtodthedprescribeddmedicationsdatdthedtimedofdadmission,dtransfer,dorddisc
harge.dThisdNationaldclientdSafetydGoaldisdimportantdtodreducedmedicationderrors.dThedclie
ntdwoulddnotdhavedtodbedresponsibledfordprovidersdwashingdtheirdhands,danddevendifdthedcl
ientddoesdso,dthisdisdtoodnarrowdtodbedthedmostdimportantdactiondtodpreventderrors.dKeepin
gdthedprovider’sdphonednumberdnearbydandddocumentingdeveryonedwhodentersdthedroomda
lsoddodnotdguaranteedsafety.
DIF:ddd Applying
TOP:d IntegrateddProcess:dTeaching/Learnin
gdKEY:d Clientdsafety,dInformatics
MSC:d ClientdNeedsdCategory:dSafedanddEffectivedCaredEnvironment:dSafetydanddInfectiondControl
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