TESTzBANKzFORzMEDICAL-SURGICALzNURSINGz8THzEDITION
zBYzADRIANNEzDILLzLINTONz,MARYzANNzMATTESONzEXAMzQ
UESTIONSzWITHzVERIFIEDzANSWERS.A+
,Chapter1:zIntroduction tozMedical-Surgical Nursing
Chapter1:zIntroductionztozMedical
SurgicalzNursingzTestzBank
zMULTIPLECHOICE
1. Whichactiondemonstratesthatthenurseunderstandsthepurposeof .thezRapidzResponseTeam?
a. Monitoringztheclientfor.changeszinzpostoperativezstatussuchzaszwoundzin
zfection
b. Documentingzallchangesobservedzinztheclientand.maintainingzazp
zostoperativezflow.sheet
c. Notifyingzthephysicianzoftheclient‘schangezinzbloodpressurezfromz14
0 toz88zmm.Hgzsystolic
z z
d. Notifyingzthephysicianoftheclient‘sincreasezinzrestlessnessafterzmz
edicationzchange
ANS:zC
ThezRapidzResponsezTeamz(RRT)zsaveszliveszandzdecreaseszthezrisk.for.harmzbyzprovidingzcareztozclient
szbeforezazrespiratoryzor.cardiaczarrestzoccurs.zAlthoughzthezRRTzdoesznot.replacezthezCodezTeam,zwhic
hrzespondsztozclientarrests,zitzintervenesrapidlyzfor.those.whoarebeginningztozdeclinezclinically.zItzwoul
dzbzezappropriatezfor.thezRRTztozintervenezwhenzthezclient.haszexperiencedzaz52-
pointzdropzinzbloodzpressure.zMonitoringzthezclient‘szpostoperativezstatus,zmaintainingzazpostoperativez
fzlow.sheet,zandznotifyingzthezphysicianzofzazchangezinzthezclient‘szstatuszafter.azmedicationzchangezwou
ldznotzbezconsideredzactivitieszofzthezRapidzResponsezTeam.
DIF:zCognitivezLevel:zComprehension/UnderstandingzREF:zpp.z2-3
TOP:zClientzNeedszCategory:zSafezandzEffective.CarezEnvironmentz(Management.ofzCare
—zCollaborationzwithzInterdisciplinary.Team)
,MSC:zIntegratedzProcess:zNursingzProcessz(Assessment)
, 2. ThezJointzCommissionfocuseszonzsafetyzinzhealthzcare.zWhichzactionzbyzthenursereflectszThe.Joi
ntzCommission‘szmainzobjective?
z
a. Performingrange-of-motionexerciseszonztheclient.threetimeseachday
b. Ensuringzthatztheclientziszeatingz100%zofzthemealszservedztozhimzor.her
c. Assessingtheclient‘srespirationswhenadministering.opioids
d. Delegatingztozthenursing.assistantztozgiveztheclient.azcompletebathzda
ily
z
ANS:zC
Itziszimportantzforztheznurseztozassesszrespirationszofzthezclientzwhenzadministeringzopioidszbecausezofz
tzhepossibilityzofzrespiratory.depression.zTheother.interventionszmayzor.maynotbenecessaryzinzthezc
arzezofzthezclientzandzdoznotzfocuszonzsafety.
DIF:zCognitivezLevel:zApplication/Applyingzor.higherzREF:zN/A
TOP:zClientzNeedszCategory:zSafezandzEffectivezCarezEnvironmentz(Safety.and.Infection.Control)zMSC
:zIntegratedzProcess:zNursing.Processz(Assessment)
3. Whichactionzbyzthenurseshowszanzunderstanding.oftheprincipleofself-determination?
a. Allowingapostoperativezclientztozdecideztoztakemedicationwithzfruitzju
icezrather.thanzwater
z
b. Allowingzazteenagerztozdecidenotztozgoztozazcliniczwhenzthereziszev
izdencezthatzsheziszhavingzprofusezvaginalzbleeding
c. Allowingzaparentztozdecidenotztozproceedwithzazlifesavingzoperationzfo
r.az12-year-oldzclient
zBYzADRIANNEzDILLzLINTONz,MARYzANNzMATTESONzEXAMzQ
UESTIONSzWITHzVERIFIEDzANSWERS.A+
,Chapter1:zIntroduction tozMedical-Surgical Nursing
Chapter1:zIntroductionztozMedical
SurgicalzNursingzTestzBank
zMULTIPLECHOICE
1. Whichactiondemonstratesthatthenurseunderstandsthepurposeof .thezRapidzResponseTeam?
a. Monitoringztheclientfor.changeszinzpostoperativezstatussuchzaszwoundzin
zfection
b. Documentingzallchangesobservedzinztheclientand.maintainingzazp
zostoperativezflow.sheet
c. Notifyingzthephysicianzoftheclient‘schangezinzbloodpressurezfromz14
0 toz88zmm.Hgzsystolic
z z
d. Notifyingzthephysicianoftheclient‘sincreasezinzrestlessnessafterzmz
edicationzchange
ANS:zC
ThezRapidzResponsezTeamz(RRT)zsaveszliveszandzdecreaseszthezrisk.for.harmzbyzprovidingzcareztozclient
szbeforezazrespiratoryzor.cardiaczarrestzoccurs.zAlthoughzthezRRTzdoesznot.replacezthezCodezTeam,zwhic
hrzespondsztozclientarrests,zitzintervenesrapidlyzfor.those.whoarebeginningztozdeclinezclinically.zItzwoul
dzbzezappropriatezfor.thezRRTztozintervenezwhenzthezclient.haszexperiencedzaz52-
pointzdropzinzbloodzpressure.zMonitoringzthezclient‘szpostoperativezstatus,zmaintainingzazpostoperativez
fzlow.sheet,zandznotifyingzthezphysicianzofzazchangezinzthezclient‘szstatuszafter.azmedicationzchangezwou
ldznotzbezconsideredzactivitieszofzthezRapidzResponsezTeam.
DIF:zCognitivezLevel:zComprehension/UnderstandingzREF:zpp.z2-3
TOP:zClientzNeedszCategory:zSafezandzEffective.CarezEnvironmentz(Management.ofzCare
—zCollaborationzwithzInterdisciplinary.Team)
,MSC:zIntegratedzProcess:zNursingzProcessz(Assessment)
, 2. ThezJointzCommissionfocuseszonzsafetyzinzhealthzcare.zWhichzactionzbyzthenursereflectszThe.Joi
ntzCommission‘szmainzobjective?
z
a. Performingrange-of-motionexerciseszonztheclient.threetimeseachday
b. Ensuringzthatztheclientziszeatingz100%zofzthemealszservedztozhimzor.her
c. Assessingtheclient‘srespirationswhenadministering.opioids
d. Delegatingztozthenursing.assistantztozgiveztheclient.azcompletebathzda
ily
z
ANS:zC
Itziszimportantzforztheznurseztozassesszrespirationszofzthezclientzwhenzadministeringzopioidszbecausezofz
tzhepossibilityzofzrespiratory.depression.zTheother.interventionszmayzor.maynotbenecessaryzinzthezc
arzezofzthezclientzandzdoznotzfocuszonzsafety.
DIF:zCognitivezLevel:zApplication/Applyingzor.higherzREF:zN/A
TOP:zClientzNeedszCategory:zSafezandzEffectivezCarezEnvironmentz(Safety.and.Infection.Control)zMSC
:zIntegratedzProcess:zNursing.Processz(Assessment)
3. Whichactionzbyzthenurseshowszanzunderstanding.oftheprincipleofself-determination?
a. Allowingapostoperativezclientztozdecideztoztakemedicationwithzfruitzju
icezrather.thanzwater
z
b. Allowingzazteenagerztozdecidenotztozgoztozazcliniczwhenzthereziszev
izdencezthatzsheziszhavingzprofusezvaginalzbleeding
c. Allowingzaparentztozdecidenotztozproceedwithzazlifesavingzoperationzfo
r.az12-year-oldzclient
