10/31/23,n5:28nA Testnbankn-nmedicalnsurgicalnnursingn10thneditionnignataviciusnworkman-
M bte…
Medical Surgical Nursing 10th EditionIgnat
n n n n n
avicius Workman Test Bank
n n n
Chaptern 01:n Overviewn ofn Professionaln Nursingn Conceptsn forn Medical-
Surgicaln NursingnIgnatavicius:nMedical-SurgicalnNursing,n10thnEdition
MULTIPLEnCHOICE
1. Annewnnursenisnworkingnwithnanpreceptornonnanmedical-
surgicalnunit.nThenpreceptornadvisesnthennewnnursenthatn whichnisnthen priorityn whennworking
nasnanprofessionaln nurse?
a. Attendingntonholisticnclientnneeds
b. Ensuringnclientnsafety
c. Notnmakingnmedicationnerrors
d. Providingnclient-focusedncare
ANS:n B
Allnactionsnarenappropriatenfornthenprofessionalnnurse.nHowever,nensuringnclientnsafetynis
nthenpriority.nHealthncarenerrorsnhavenbeennwidelynreportednforn25nyears,nmanynofnwhichnr
esultninnclientninjury,n death,nandnincreasednhealthncarencosts.nTherenaren severaln nationalna
ndninternationalnorganizationsnthatnhaveneithernrecommendednornmandatednsafetyninitiativ
es.
Everynnursen hasnthenresponsibilitynton guardnthen client’sn safety.nThenothernactionsnarenimporta
nt
fornqualitynnursing,nbutntheynarennotnasnvitalnasnprovidingnsafety.nNotnmakingnmedicationner
rorsndoesnproviden safety,nbutnisntoonnarrowninnscopentonbenthenbestnanswer.
DIF:nnn Understanding
TOP:nIntegratednProcess:nNursingnProcess:nIntervention
nKEY:n Clientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
2. Annursenisnorientingnannewnclientnandnfamilyntonthenmedical-
surgicalnunit.nWhatninformationndoesnthennursenprovidentonbestnhelpnthenclientnpromotenh
isnornhernownn safety?
a. Encouragenthenclientnandnfamilyntonbenactivenpartners.
b. Haventhenclientnmonitornhandnhygieneninncaregivers.
c. Offernthenfamilynthenopportunityntonstaynwithnthenclient.
d. Tellnthenclientntonalwaysnwearnhisnornhernarmband.
ANS:n A
Eachnactionncouldnbenimportantn fornthen clientnornfamilynton perform.n However,nencouraging
nthenclientntonbenactiveninn hisn orn hern healthncarenasnan safetyn partnernisnthen mostncritical.nTh
enothernactionsnarenverynlimitedninnscopenandndonnotnprovidenthenbroadnprotectionnthatnbein
gnactivenandninvolvedndoes.
DIF:nnn Understanding
TOP:nIntegratednProcess:nTeaching/Learnin
gnKEY:n Clientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
3. An nursenisn caringn fornanpostoperativenclientnonnthensurgicaln unit.nThenclient’snbloodn press
uren wasn142/76nmmnHgn30nminutesnago,nandnnownisn88/50nmmnHg.nWhatnactionnwouldnt
hennursentakenfirst?
a. CallnthenRapidnResponsenTeam.
b. Documentnandncontinuentonmonitor.
c. Notifynthenprimarynhealthncarenprovider.
d. Repeatnthenbloodnpressureninn15nminutes.
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ANS:n A
ThenpurposenofnthenRapidnResponsenTeamn(RRT)nisntonintervenenwhennclientsnarendeteriora
tingnbeforentheyn sufferneithernrespiratoryn orncardiacnarrest.n Sincenthenclientn hasnmanifestedn
ansignificantnchange,nthen nursen wouldncallnthenRRT.n Changesninn bloodnpressure,n mentalnsta
tus,n heartn rate,ntemperature,noxygenn saturation,nandnlastn 2nhours’n urinenoutputnarenparticular
lyn significantnandnaren partn ofnthen ModifiednEarlyn Warningn Systemnguide.n Documentationni
snvital,nbutnthen nursen mustn don morenthanndocument.nThenprimarynhealthncarenprovidern woul
dnbennotified,n butnthisnisnnotnmorenimportantnthanncallingnthenRRT.nThenclient’sn bloodn pres
suren wouldnbenreassessednfrequently,nbutnthenprioritynisn gettingnthenrapidncarentonthenclient.
DIF:nnn Applying
TOP:n IntegratednProcess:nCommunicationnandnDocumentati
onnKEY:n RapidnResponsenTeamn(RRT),nClinicalnjudgment
MSC:n ClientnNeedsnCategory:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
4. Annursenwishesntonprovidenclient-centeredncareninnallninteractions.nWhichnactionnbynthennurse
bestndemonstratesnthisnconcept?
a. Assessesnfornculturalninfluencesnaffectingnhealthncare.
b. Ensuresnthatnallnthenclient’snbasicnneedsnarenmet.
c. Tellsnthenclientnandnfamilynaboutnallnupcomingntests.
d. Thoroughlynorientsnthenclientnandnfamilyntonthenroom.
ANS:n A
Showingnrespectnfornthenclientnandnfamily’snpreferencesnandn needsnisnessentialntonensurena
nholisticnorn“whole-
person”napproachntoncare.nBynassessingntheneffectnofnthenclient’snculturenonnhealthncare,nthi
snnursenisn practicingnclient-
focusedn care.n Providingnforn basicnneedsn doesn notndemonstratenthisncompetence.n Simplynte
llingnthenclientnaboutnallnupcomingntestsnisnnotn providingnempoweringneducation.nOrientin
gnthenclientnandnfamilyntonthenroomnisnannimportantnsafetynmeasure,nbutnnotndirectlynrelate
dntondemonstratingnclient-centeredncare.
DIF:nnn Understanding
TOP:nIntegratednProcess:nCulturenandnSpiritualityn
KEY:n Client-centeredncare,nCulture
MSC:n ClientnNeedsnCategory:nPsychosocialnIntegri
ty
5. Anclientnisngoingntonbenadmittednfornanschedulednsurgicalnprocedure.nWhichnactionndoes
nthennursenexplainnisnthenmostnimportantnthingnthenclientncanndontonprotectnagainst nerror
s?
a. Bringnanlistnofnallnmedicationsnandnwhatntheynarenfor.
b. Keepnthenprovider’snphonennumbernbynthentelephone.
c. Makensurenthatnallnprovidersnwashnhandsnbeforenenteringnthenroom.
d. Writendownnthennamenofneachncaregivernwhoncomesninnthenroom.
ANS:n A
Medicationnreconciliationnisnanformalnprocessninnwhichnthenclient’snactualncurrentnmedicati
onsnarencomparedntonthen prescribednmedicationsnatnthentimenofnadmission,ntransfer,norndisc
harge.nThisn Nationalnclientn Safetyn Goaln isnimportantnton reducen medicationnerrors.nThenclie
ntn wouldn notn haventon benresponsiblenfornprovidersn washingntheirn hands,nandnevennifnthencl
ientndoesn so,nthisnisntoon narrownton benthenmostnimportantnactionnton preventnerrors.n Keepin
gnthen provider’sn phonennumbernnearbynandn documentingneveryonen whon entersnthenroomna
lson donnotnguaranteensafety.
DIF:nnn Applying
TOP:n IntegratednProcess:nTeaching/Learnin
gnKEY:n Clientnsafety,nInformatics
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
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Btestbanks.com
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M bte…
Medical Surgical Nursing 10th EditionIgnat
n n n n n
avicius Workman Test Bank
n n n
Chaptern 01:n Overviewn ofn Professionaln Nursingn Conceptsn forn Medical-
Surgicaln NursingnIgnatavicius:nMedical-SurgicalnNursing,n10thnEdition
MULTIPLEnCHOICE
1. Annewnnursenisnworkingnwithnanpreceptornonnanmedical-
surgicalnunit.nThenpreceptornadvisesnthennewnnursenthatn whichnisnthen priorityn whennworking
nasnanprofessionaln nurse?
a. Attendingntonholisticnclientnneeds
b. Ensuringnclientnsafety
c. Notnmakingnmedicationnerrors
d. Providingnclient-focusedncare
ANS:n B
Allnactionsnarenappropriatenfornthenprofessionalnnurse.nHowever,nensuringnclientnsafetynis
nthenpriority.nHealthncarenerrorsnhavenbeennwidelynreportednforn25nyears,nmanynofnwhichnr
esultninnclientninjury,n death,nandnincreasednhealthncarencosts.nTherenaren severaln nationalna
ndninternationalnorganizationsnthatnhaveneithernrecommendednornmandatednsafetyninitiativ
es.
Everynnursen hasnthenresponsibilitynton guardnthen client’sn safety.nThenothernactionsnarenimporta
nt
fornqualitynnursing,nbutntheynarennotnasnvitalnasnprovidingnsafety.nNotnmakingnmedicationner
rorsndoesnproviden safety,nbutnisntoonnarrowninnscopentonbenthenbestnanswer.
DIF:nnn Understanding
TOP:nIntegratednProcess:nNursingnProcess:nIntervention
nKEY:n Clientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
2. Annursenisnorientingnannewnclientnandnfamilyntonthenmedical-
surgicalnunit.nWhatninformationndoesnthennursenprovidentonbestnhelpnthenclientnpromotenh
isnornhernownn safety?
a. Encouragenthenclientnandnfamilyntonbenactivenpartners.
b. Haventhenclientnmonitornhandnhygieneninncaregivers.
c. Offernthenfamilynthenopportunityntonstaynwithnthenclient.
d. Tellnthenclientntonalwaysnwearnhisnornhernarmband.
ANS:n A
Eachnactionncouldnbenimportantn fornthen clientnornfamilynton perform.n However,nencouraging
nthenclientntonbenactiveninn hisn orn hern healthncarenasnan safetyn partnernisnthen mostncritical.nTh
enothernactionsnarenverynlimitedninnscopenandndonnotnprovidenthenbroadnprotectionnthatnbein
gnactivenandninvolvedndoes.
DIF:nnn Understanding
TOP:nIntegratednProcess:nTeaching/Learnin
gnKEY:n Clientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
3. An nursenisn caringn fornanpostoperativenclientnonnthensurgicaln unit.nThenclient’snbloodn press
uren wasn142/76nmmnHgn30nminutesnago,nandnnownisn88/50nmmnHg.nWhatnactionnwouldnt
hennursentakenfirst?
a. CallnthenRapidnResponsenTeam.
b. Documentnandncontinuentonmonitor.
c. Notifynthenprimarynhealthncarenprovider.
d. Repeatnthenbloodnpressureninn15nminutes.
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ANS:n A
ThenpurposenofnthenRapidnResponsenTeamn(RRT)nisntonintervenenwhennclientsnarendeteriora
tingnbeforentheyn sufferneithernrespiratoryn orncardiacnarrest.n Sincenthenclientn hasnmanifestedn
ansignificantnchange,nthen nursen wouldncallnthenRRT.n Changesninn bloodnpressure,n mentalnsta
tus,n heartn rate,ntemperature,noxygenn saturation,nandnlastn 2nhours’n urinenoutputnarenparticular
lyn significantnandnaren partn ofnthen ModifiednEarlyn Warningn Systemnguide.n Documentationni
snvital,nbutnthen nursen mustn don morenthanndocument.nThenprimarynhealthncarenprovidern woul
dnbennotified,n butnthisnisnnotnmorenimportantnthanncallingnthenRRT.nThenclient’sn bloodn pres
suren wouldnbenreassessednfrequently,nbutnthenprioritynisn gettingnthenrapidncarentonthenclient.
DIF:nnn Applying
TOP:n IntegratednProcess:nCommunicationnandnDocumentati
onnKEY:n RapidnResponsenTeamn(RRT),nClinicalnjudgment
MSC:n ClientnNeedsnCategory:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation
4. Annursenwishesntonprovidenclient-centeredncareninnallninteractions.nWhichnactionnbynthennurse
bestndemonstratesnthisnconcept?
a. Assessesnfornculturalninfluencesnaffectingnhealthncare.
b. Ensuresnthatnallnthenclient’snbasicnneedsnarenmet.
c. Tellsnthenclientnandnfamilynaboutnallnupcomingntests.
d. Thoroughlynorientsnthenclientnandnfamilyntonthenroom.
ANS:n A
Showingnrespectnfornthenclientnandnfamily’snpreferencesnandn needsnisnessentialntonensurena
nholisticnorn“whole-
person”napproachntoncare.nBynassessingntheneffectnofnthenclient’snculturenonnhealthncare,nthi
snnursenisn practicingnclient-
focusedn care.n Providingnforn basicnneedsn doesn notndemonstratenthisncompetence.n Simplynte
llingnthenclientnaboutnallnupcomingntestsnisnnotn providingnempoweringneducation.nOrientin
gnthenclientnandnfamilyntonthenroomnisnannimportantnsafetynmeasure,nbutnnotndirectlynrelate
dntondemonstratingnclient-centeredncare.
DIF:nnn Understanding
TOP:nIntegratednProcess:nCulturenandnSpiritualityn
KEY:n Client-centeredncare,nCulture
MSC:n ClientnNeedsnCategory:nPsychosocialnIntegri
ty
5. Anclientnisngoingntonbenadmittednfornanschedulednsurgicalnprocedure.nWhichnactionndoes
nthennursenexplainnisnthenmostnimportantnthingnthenclientncanndontonprotectnagainst nerror
s?
a. Bringnanlistnofnallnmedicationsnandnwhatntheynarenfor.
b. Keepnthenprovider’snphonennumbernbynthentelephone.
c. Makensurenthatnallnprovidersnwashnhandsnbeforenenteringnthenroom.
d. Writendownnthennamenofneachncaregivernwhoncomesninnthenroom.
ANS:n A
Medicationnreconciliationnisnanformalnprocessninnwhichnthenclient’snactualncurrentnmedicati
onsnarencomparedntonthen prescribednmedicationsnatnthentimenofnadmission,ntransfer,norndisc
harge.nThisn Nationalnclientn Safetyn Goaln isnimportantnton reducen medicationnerrors.nThenclie
ntn wouldn notn haventon benresponsiblenfornprovidersn washingntheirn hands,nandnevennifnthencl
ientndoesn so,nthisnisntoon narrownton benthenmostnimportantnactionnton preventnerrors.n Keepin
gnthen provider’sn phonennumbernnearbynandn documentingneveryonen whon entersnthenroomna
lson donnotnguaranteensafety.
DIF:nnn Applying
TOP:n IntegratednProcess:nTeaching/Learnin
gnKEY:n Clientnsafety,nInformatics
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl
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