10/31/23,m5:28mA Testmbankm-mmedicalmsurgical mnursingm10thmeditionmignataviciusmworkman-
M bte…
Medical Surgical Nursing 10th Edition Ig
m m m m m
natavicius Workman Test Bank m m m
Chapterm01:mOverviewmof mProfessional mNu rsingmConceptsmform Medical -
Surgical mNursingm Ignatavicius:mMedi cal-Su rgi cal mNu rsing, m10th mEdition
MULTIPLEm CHOICE
1. A mnew mnursemis mworkingmwith mampreceptormon mammedical-
surgical munit.mThempreceptormadvises mthem new mnursemthat mwhich mis mthemp riority mwhen
mworkingmas mamprofessional mnurse?
a. Attendingmto mholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedication merrors
d. Providingmclient-focused mcare
ANS: mB
All mactions maremappropriatemformthemprofessional mnurse.mHowever,mensuringmclient msafety
mis mthem priority.mHealth mcaremerrors mhavembeen mwidely mreported mform25 my ears, mm any mof
mwhich mresult min m client minjury,mdeath,mand mincreased mhealth mcare mcosts.m Th ere mar emsev
eral mnational mand m international morganizations mthat mhavemeithermreco m mended mo rm mandat
ed msafety minitiatives.
Every mnursemhas mthemresponsibility mto mguard mthemclient’s msafety.mTh emotherm actions mare m
important
formquality mnursing,mbut mthey maremnot mas mvital mas mprovidingmsafety.mNot mmakingmmedica
tion merrors m does mprovidemsafety,mbut mis mtoo mnarrow min mscopemto mbemthe mbest manswe r.
DIF: m Understanding
TOP: m Integrated mProcess: mNursingmProcess: mInterven
tion m KEY: mClient msafety
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
2. A mnursemis morientingmamnew mclient mand mfamily mto mthemmedical-
surgical munit.mWhat minformation m does mthemnursemprovidemto mbest mhelp mthemclient mpr
omotemhis mormhermown msafety?
a. Encouragemthemclient mand mfamily mto mbemactivempartners.
b. Havemthemclient mmonitormhand mhygienemin mcaregivers.
c. Offermthemfamily mthemopportunity mto mstay mwith mthemclient.
d. Tell mthemclient mto malways mwearmhis mormhermarmband.
ANS: mA
Each maction mcould mbemimportant mformthemclient mormfamily mto mperform .mHowev er, mencour
agingmthem client mto mbemactivemin mhis mormhermh ealth mc are mas m amsaf ety mpartne rmis mthem m
ost mcritical.mThemotherm actions maremvery mlimited min mscopemand mdo mnot mprovidemthembroa
d mprotection mthat mbeingmactivemand m involved mdoes.
DIF: m Understanding
TOP: mIntegrated mProcess: mTeaching/Learni
ngm KEY: mClient msafety
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
3. A mnursemis mcaringmformampostoperativemclient mon mthemsur gical munit. m Them client’s mbloo
d mpressurem was m142/76 mmmmHgm30 mminutes mago, mand mnow mis m88/50 mmm mH g.m What
maction mwould mthemnursem takemfirst?
a. Call mthemRapid mResponsemTeam.
b. Document mand mcontinuemto mmonitor.
c. Notify mthemprimary mhealth mcaremprovider.
d. Repeat mthemblood mpressuremin m15 mminutes.
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ANS: mA
ThempurposemofmthemRapid mResponsemTeamm( RR T)mis mto mintervenemwhen mclients maremd et
erioratingm beforemthey msuffermeithermr espiratory mor mca rdiacm arr est.mSinc emthe mclient mhas
mmanifested mam significant mchange, mthemnurs emwould mc all mthemR R T. mCh anges min mblood m
pressure,mmental mstatus,m heart mrate,mte mper ature, moxy gen msatur ation,mand mlast m2 mhours’m
urinemoutput maremparticularly m significant mand marempart mofmthem Modified mEarly m Warnin g
mSystemmguide.mDocumentation mis mvital,m but mthemnursemmust mdo m more mthan mdocu ment.
mThemprimary mhealth mcare mproviderm would mbem notified,mbut mthis mis mnot mmor emi mportan
t mthan mcallingmthemRRT.m The mclient’s mblood mpressure m would mbemr eassessed m frequ ently,
mbut mthempriority mis mgettingmthemrapid mcaremto mthe mclient.
DIF: m Applying
TOP: m Integrated mProcess:mCommunication mand mDocumenta
tion m KEY: mRapid mResponsemTeamm(RRT),mClinical mjudgment
MSC: m Client m Needs mCategory: m Physiological m Integrity: m Physiological m Adaptation
4. A mnursemwishes mto mprovidemclient-
centered mcaremin mall minteractions.mWhich maction mby mthemnurse
bestmdemonstrates mthis mconcept?
a. Assesses mformcultural minfluences maffectingmhealth mcare.
b. Ensures mthat mall mthemclient’s mbasicmneeds maremmet.
c. Tells mthemclient mand mfamily mabout mall mupcomingmtests.
d. Thoroughly morients mthemclient mand mfamily mto mthemroom.
ANS: mA
Showingmrespect mformthemclient mand mfamily’s mprefer ences m and mneeds mis messential mto mensu
rema
holisticmorm“whole-
person”mapproach mto mcare.mBy massessingmtheme ffe ct mofmthemclient’s mculturemon m h ealth mc
are,mthis mnursemis mpracticingmclient-
focused mcare.mProvidingmformbasic mneeds mdoes mnot m demonstrate mthis mcomp etence .m Simp
ly mtellingmthemclient mabout mall mupcomingmtests mis mnot m providingmempoweringm education
.mOrientingmthemclient mand mfamily mto mthemroommis man mimportant m safety mm easure ,mbut mn
ot mdirectly mrelated mto mdemonstratingmclient-centered mc are .
DIF: m Understanding
TOP: mIntegrated mProcess: mCulturemandmSpiritualit
y m KEY: m Client-centered mcare,mCulture
MSC: m Client mNeedsmCategory:mPsychosocialmInte
grity
5. A mclient mis mgoingmto mbemadmitted mformamscheduled msurgical mprocedure .mWhich m actio
n mdoes mthem nursemexplain mis mthemmostmimportant mthingmthemclient mcan mdo mto mprote
ct magainst merrors?
a. Bringmamlist mofmall mmedications mand mwhat mthey maremfor.
b. Keep mthemprovider’s mphonemnumbermby mthemtelephone.
c. Makemsuremthat mall mproviders mwash mhands mbeforementering mthemroom.
d. Writemdown mthemnamemofmeach mcar e givermwho mco mes min mthemroom .
ANS: mA
Medication mreconciliation mis mamformal mprocess min mwhich mthemclient’s mactual mcurrent mmedi
cations m aremcompared mto mthemprescribed m medications mat mthe mtime mofm admission,mtransf e
r,mormdischarge.m This mNational mclient m Saf ety mGoal mis mi mportant mto mredu cem medic ation m
errors.mThemclient mwould m not mhavemto mbemr esponsiblemformproviders m washing mtheirmhan
ds,mand meven mifmthemclient mdoes mso,
this mis mtoo mnarrow mto mbemthemmost mimportant maction mto mprevent merrors .mK eeping mthempr
ovider’s m phonemnumbermnearby mand mdocumentingmeveryonemwho menters mthemroom malso m
do mnot mguaranteem safety.
DIF: m Applying
TOP: m Integrated mProcess:mTeaching/Learni
ngm KEY: mClient msafety,mInformatics
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
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, 10/31/23,m5:28mA Testmbankm-mmedicalmsurgical mnursingm10thmeditionmignataviciusmworkman-
M bte…
Btestbanks.com
about:blank 4/599
M bte…
Medical Surgical Nursing 10th Edition Ig
m m m m m
natavicius Workman Test Bank m m m
Chapterm01:mOverviewmof mProfessional mNu rsingmConceptsmform Medical -
Surgical mNursingm Ignatavicius:mMedi cal-Su rgi cal mNu rsing, m10th mEdition
MULTIPLEm CHOICE
1. A mnew mnursemis mworkingmwith mampreceptormon mammedical-
surgical munit.mThempreceptormadvises mthem new mnursemthat mwhich mis mthemp riority mwhen
mworkingmas mamprofessional mnurse?
a. Attendingmto mholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedication merrors
d. Providingmclient-focused mcare
ANS: mB
All mactions maremappropriatemformthemprofessional mnurse.mHowever,mensuringmclient msafety
mis mthem priority.mHealth mcaremerrors mhavembeen mwidely mreported mform25 my ears, mm any mof
mwhich mresult min m client minjury,mdeath,mand mincreased mhealth mcare mcosts.m Th ere mar emsev
eral mnational mand m international morganizations mthat mhavemeithermreco m mended mo rm mandat
ed msafety minitiatives.
Every mnursemhas mthemresponsibility mto mguard mthemclient’s msafety.mTh emotherm actions mare m
important
formquality mnursing,mbut mthey maremnot mas mvital mas mprovidingmsafety.mNot mmakingmmedica
tion merrors m does mprovidemsafety,mbut mis mtoo mnarrow min mscopemto mbemthe mbest manswe r.
DIF: m Understanding
TOP: m Integrated mProcess: mNursingmProcess: mInterven
tion m KEY: mClient msafety
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
2. A mnursemis morientingmamnew mclient mand mfamily mto mthemmedical-
surgical munit.mWhat minformation m does mthemnursemprovidemto mbest mhelp mthemclient mpr
omotemhis mormhermown msafety?
a. Encouragemthemclient mand mfamily mto mbemactivempartners.
b. Havemthemclient mmonitormhand mhygienemin mcaregivers.
c. Offermthemfamily mthemopportunity mto mstay mwith mthemclient.
d. Tell mthemclient mto malways mwearmhis mormhermarmband.
ANS: mA
Each maction mcould mbemimportant mformthemclient mormfamily mto mperform .mHowev er, mencour
agingmthem client mto mbemactivemin mhis mormhermh ealth mc are mas m amsaf ety mpartne rmis mthem m
ost mcritical.mThemotherm actions maremvery mlimited min mscopemand mdo mnot mprovidemthembroa
d mprotection mthat mbeingmactivemand m involved mdoes.
DIF: m Understanding
TOP: mIntegrated mProcess: mTeaching/Learni
ngm KEY: mClient msafety
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
3. A mnursemis mcaringmformampostoperativemclient mon mthemsur gical munit. m Them client’s mbloo
d mpressurem was m142/76 mmmmHgm30 mminutes mago, mand mnow mis m88/50 mmm mH g.m What
maction mwould mthemnursem takemfirst?
a. Call mthemRapid mResponsemTeam.
b. Document mand mcontinuemto mmonitor.
c. Notify mthemprimary mhealth mcaremprovider.
d. Repeat mthemblood mpressuremin m15 mminutes.
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M bte…
Btestbanks.com
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,10/31/23,m5:28mA Testmbankm-mmedicalmsurgical mnursingm10thmeditionmignataviciusmworkman-
M bte…
ANS: mA
ThempurposemofmthemRapid mResponsemTeamm( RR T)mis mto mintervenemwhen mclients maremd et
erioratingm beforemthey msuffermeithermr espiratory mor mca rdiacm arr est.mSinc emthe mclient mhas
mmanifested mam significant mchange, mthemnurs emwould mc all mthemR R T. mCh anges min mblood m
pressure,mmental mstatus,m heart mrate,mte mper ature, moxy gen msatur ation,mand mlast m2 mhours’m
urinemoutput maremparticularly m significant mand marempart mofmthem Modified mEarly m Warnin g
mSystemmguide.mDocumentation mis mvital,m but mthemnursemmust mdo m more mthan mdocu ment.
mThemprimary mhealth mcare mproviderm would mbem notified,mbut mthis mis mnot mmor emi mportan
t mthan mcallingmthemRRT.m The mclient’s mblood mpressure m would mbemr eassessed m frequ ently,
mbut mthempriority mis mgettingmthemrapid mcaremto mthe mclient.
DIF: m Applying
TOP: m Integrated mProcess:mCommunication mand mDocumenta
tion m KEY: mRapid mResponsemTeamm(RRT),mClinical mjudgment
MSC: m Client m Needs mCategory: m Physiological m Integrity: m Physiological m Adaptation
4. A mnursemwishes mto mprovidemclient-
centered mcaremin mall minteractions.mWhich maction mby mthemnurse
bestmdemonstrates mthis mconcept?
a. Assesses mformcultural minfluences maffectingmhealth mcare.
b. Ensures mthat mall mthemclient’s mbasicmneeds maremmet.
c. Tells mthemclient mand mfamily mabout mall mupcomingmtests.
d. Thoroughly morients mthemclient mand mfamily mto mthemroom.
ANS: mA
Showingmrespect mformthemclient mand mfamily’s mprefer ences m and mneeds mis messential mto mensu
rema
holisticmorm“whole-
person”mapproach mto mcare.mBy massessingmtheme ffe ct mofmthemclient’s mculturemon m h ealth mc
are,mthis mnursemis mpracticingmclient-
focused mcare.mProvidingmformbasic mneeds mdoes mnot m demonstrate mthis mcomp etence .m Simp
ly mtellingmthemclient mabout mall mupcomingmtests mis mnot m providingmempoweringm education
.mOrientingmthemclient mand mfamily mto mthemroommis man mimportant m safety mm easure ,mbut mn
ot mdirectly mrelated mto mdemonstratingmclient-centered mc are .
DIF: m Understanding
TOP: mIntegrated mProcess: mCulturemandmSpiritualit
y m KEY: m Client-centered mcare,mCulture
MSC: m Client mNeedsmCategory:mPsychosocialmInte
grity
5. A mclient mis mgoingmto mbemadmitted mformamscheduled msurgical mprocedure .mWhich m actio
n mdoes mthem nursemexplain mis mthemmostmimportant mthingmthemclient mcan mdo mto mprote
ct magainst merrors?
a. Bringmamlist mofmall mmedications mand mwhat mthey maremfor.
b. Keep mthemprovider’s mphonemnumbermby mthemtelephone.
c. Makemsuremthat mall mproviders mwash mhands mbeforementering mthemroom.
d. Writemdown mthemnamemofmeach mcar e givermwho mco mes min mthemroom .
ANS: mA
Medication mreconciliation mis mamformal mprocess min mwhich mthemclient’s mactual mcurrent mmedi
cations m aremcompared mto mthemprescribed m medications mat mthe mtime mofm admission,mtransf e
r,mormdischarge.m This mNational mclient m Saf ety mGoal mis mi mportant mto mredu cem medic ation m
errors.mThemclient mwould m not mhavemto mbemr esponsiblemformproviders m washing mtheirmhan
ds,mand meven mifmthemclient mdoes mso,
this mis mtoo mnarrow mto mbemthemmost mimportant maction mto mprevent merrors .mK eeping mthempr
ovider’s m phonemnumbermnearby mand mdocumentingmeveryonemwho menters mthemroom malso m
do mnot mguaranteem safety.
DIF: m Applying
TOP: m Integrated mProcess:mTeaching/Learni
ngm KEY: mClient msafety,mInformatics
MSC: m Client mNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymand mInfection mCo
ntrol
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