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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TESTBANK m m
FOR
MEDICAL SURGICAL m
NURSING 8TH EDITION IGNAVAT
m
m
m
ICIUS
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Distribution mofmthis mdocumentmis millegal
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Chapter 1: Introduction to Medical-
m m m m
Surgical Nursing Practice Ignatavicius: Medical-
m m m m
Surgical Nursing, 8th Edition
m m m
MULTIPLEmCHOICE
1. Amnew mnursemismworkingmwithmampreceptormonmanminpatient mmedical-
surgicalmunit.mThempreceptormadvisesmthemstudent mthat mwhichmismthemprioritymwhenmwork
ingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedicationmerrors
d. Providingmclient-focused mcare
ANS:m m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclient msafetymismth
empriority.mUpmtom98,000mdeathsmresult meachmyearmfrommerrorsminmhospital mcare,maccordingmtomt
hem2000mInstitutemof mMedicinemreport.mManymmoremclientsmhavemsuffered minjuriesmand mlessmser
iousmoutcomes.mEverymnursemhasmthemresponsibilitymtomguard mthemclient’smsafety.
DIF: Understanding/Comprehension REF: 2
KEY:m Patient msafetymMSC:m Integrated mProcess:mNursingmProcess:mIntervention
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
2. Amnursemismorientingmamnew mclient mand mfamilymtomtheminpatient munit.mWhat minformationmdoesm
themnursemprovidemtomhelpmthemclient mpromotemhismormhermownmsafety?
a. Encouragemthemclient mand mfamilymtombemactivempartners.
b. Havemthemclient mmonitormhand mhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclient mtomalwaysmwearmhismormhermarmband.
ANS:m m A
Eachmactionmcould mbemimportant mformthemclient mormfamilymtomperform.mHowever,mencouragin
gmthemclient mtombemactiveminmhismormhermhealthmcaremasma mpartnerm ismthemmost mcritical.mThemoth
ermactionsmaremverymlimited minmscopemand mdomnot mprovidemthembroad mprotectionmthat mbeingmac
tivemand minvolved mdoes.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient msafetymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
3. Amnursemismcaringmformampostoperativemclient monmthemsurgicalmunit.mThemclient’smblood mpress
uremwasm142/76m mmmHgm30mminutesmago,mand mnow mism88/50m mmmHg.mWhat mactionmbymthem
nursemismbest?
a. CallmthemRapid mResponsemTeam.
b. Document mand mcontinuemtommonitor.
c. Notifymthemprimarymcaremprovider.
d. Repeat mblood mpressuremmeasurement minm15mminutes.
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Distribution mofmthis mdocumentmis millegal
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
ANS:m m A
Thempurposemof mthemRapid mResponsemTeamm(RRT)mismtomintervenemwhenmclientsmare mdeteriora
tingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclient mhasmmanifested m
amsignificant mchange,mthemnursemshould mcallmthemRRT.mChangesminmblood mpressure, mmentalmsta
tus,mheart mrate,mand mpainmaremparticularlymsignificant.mDocumentationmismvital,mbut mthemnursem
must mdommoremthanmdocument.mThemprimarymcaremprovidermshould mbemnotified,mbut mthismismnot
mthemprioritymovermcallingmthemRRT.mThemclient’smblood mpressuremshould mbemreassessed mfreque
ntly,mbut mthemprioritymismgettingmthemrapid mcaremtomthemclient.
DIF: Applying/Application REF:
3m KEY:m Rapid mResponsemTeamm(RRT)|mmedicalme
mergencies
MSC:m Integrated mProcess:mCommunicationmand mDocumentation
NOT:m Client mNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-
centered mcareminmallminteractions.mWhichmactionmbymthemnursembest mdemonstratesmthismconcep
t?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare
b. Ensuresmthat mallmthemclients’mbasicmneedsmaremmet
c. Tellsmthemclient mand mfamilymabout mallmupcomingmtests
d. Thoroughlymorientsmthemclient mand mfamilymtomthemroom
ANS:m m A
Competencyminmclient-
focused mcaremismdemonstrated mwhenmthemnursemfocusesmonmcommunication,mculture,mrespect,mc
ompassion,mclient meducation,mand mempowerment.mBymassessingmthemeffect mof mthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticing
client-
focused mcare.mProvidingmformbasicmneedsmdoesmnot mdemonstratemthismcompetence.mSimplymte
llingmthemclient mabout mallmupcomingmtestsmismnot mprovidingmempoweringmeducation.mOrientin
gmthemclient mand mfamilymtomthemroommismanmimportant msafetymmeasure,mbut mnot mdirectlymrelate
d mtomdemonstratingmclient-centered mcare.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient-centered mcare|mculture
MSC:m Integrated mProcess:mCarin
gmNOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
5. Amclient mismgoingmtombemadmitted mformamscheduled msurgicalmprocedure.mWhichmactionmdoesmt
hemnursemexplainmismthemmost mimportant mthingmthemclient mcanmdomtomprotect magainst merrors?
a. Bringmamlist mof mallmmedicationsmand mwhat mtheymaremfor.
b. Keepmthemdoctor’smphonemnumbermbymthemtelephone.
c. Makemsuremallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemof meachmcaregivermwhomcomesminmthemroom.
ANS:m m A
Medicationmerrorsmaremthemmost mcommonmtypemof mhealthmcaremmistake.m ThemJoint mCommissi
on’smSpeakmUpmcampaignmencouragesmclientsmtomhelpmensuremtheirmsafety.mOnemrecommend
ationmismformclientsmtomknow mallmtheirmmedicationsmand mwhymtheymtakemthem.mThismwillmhelpm
prevent mmedicationmerrors.
DIF: Applying/Application REF: 4
KEY:m SpeakmUpmcampaign|mpatient msafety MSC:m Integrated mProcess:mTeaching/Learning
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Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
6. Whichmactionmbymthemnursemworkingmwithmamclient mbest mdemonstratesmrespect mformautonomy?
a. Asksmif mthemclient mhasmquestionsmbeforemsigningmamconsent
b. Givesmthemclient maccurateminformationmwhenmquestioned
c. Keepsmthempromisesmmademtomthemclient mand mfamily
d. Treatsmthemclient mfairlymcompared mtomothermclients
ANS:m m A
Autonomymismself-
determination.mThemclient mshould mmakemdecisionsmregardingmcare.mWhenmthemnursemobtainsmam
signaturemonmthemconsent mform,massessingmif mthemclient mstillmhasmquestionsmismvital,mbecausemwi
thout mfullminformationmthemclient mcannot mpracticemautonomy.mGivingmaccurateminformationmism
practicingmwithmveracity.mKeepingmpromisesmismupholdingmfidelity.mTreatingmthemclient mfairlymi
smprovidingmsocialmjustice.
DIF: Applying/Application REF: 4
KEY:m Autonomy|methicalmprinciples MSC:m Integrated mProcess:mCaring
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mManagement mof mCar
e
7. Amstudent mnursemasksmthemfacultymtomexplainmbest mpracticesmwhenmcommunicatingmwit
hmampersonmfrommthem lesbian,mgay,mbisexual, mtransgender,mand mqueer/questioning m(LG
BTQ)mcommunity.mWhat manswermbymthemfacultymismmost maccurate?
a. Avoid membarrassingmthemclient mbymaskingmquestions.
b. Don’t mmakemassumptionsmabout mtheirmhealthmneeds.
c. Most mLGBTQ mpeoplemdomnot mwant mtomshareminformation.
d. Nomdifferencesmexist minmcommunicatingmwithmthismpopulation.
ANS:m m B
Manymmembersmof mthemLGBTQ mcommunitymhavemfaced mdiscriminationmfrommhealthmcarempr
ovidersmand mmaymbemreluctant mtomseekmhealthmcare.mThemnursemshould mnevermmake massumptio
nsmabout mthemneedsmof mmembersmof mthismpopulation.mRather,mrespectfulmquestionsmaremappropr
iate.mIf mapproached mwithmsensitivity,mthemclient mwithmanymhealthmcaremneed mismmoremlikelymtom
answermhonestly.
DIF: Understanding/Comprehension REF: 4
KEY:m LGBTQ|mdiversitymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
8. Amnursemismcallingmthemon-
callmphysicianmabout mamclient mwhomhad mamhysterectomym2mdaysmagomand mhasmpainmthat mismunr
elieved mbymthemprescribed mnarcoticmpainmmedication.mWhichmstatement mismpart mof mthemSBAR
mformat mformcommunication?
a. A:m“I mwould mlikemyoumtomordermamdifferent mpainmmedication.”
b. B:m“Thismclient mhasmallergiesmtommorphinemand mcodeine.”
c. R:m“Dr.mSmithmdoesn’t mlikemnonsteroidalmanti-inflammatorymmeds.”
d. S:m“Thismclient mhad mamvaginalmhysterectomym2mdaysmago
.”mANS:m B
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Distribution mofmthis mdocumentmis millegal
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TESTBANK m m
FOR
MEDICAL SURGICAL m
NURSING 8TH EDITION IGNAVAT
m
m
m
ICIUS
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Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapter 1: Introduction to Medical-
m m m m
Surgical Nursing Practice Ignatavicius: Medical-
m m m m
Surgical Nursing, 8th Edition
m m m
MULTIPLEmCHOICE
1. Amnew mnursemismworkingmwithmampreceptormonmanminpatient mmedical-
surgicalmunit.mThempreceptormadvisesmthemstudent mthat mwhichmismthemprioritymwhenmwork
ingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedicationmerrors
d. Providingmclient-focused mcare
ANS:m m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclient msafetymismth
empriority.mUpmtom98,000mdeathsmresult meachmyearmfrommerrorsminmhospital mcare,maccordingmtomt
hem2000mInstitutemof mMedicinemreport.mManymmoremclientsmhavemsuffered minjuriesmand mlessmser
iousmoutcomes.mEverymnursemhasmthemresponsibilitymtomguard mthemclient’smsafety.
DIF: Understanding/Comprehension REF: 2
KEY:m Patient msafetymMSC:m Integrated mProcess:mNursingmProcess:mIntervention
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
2. Amnursemismorientingmamnew mclient mand mfamilymtomtheminpatient munit.mWhat minformationmdoesm
themnursemprovidemtomhelpmthemclient mpromotemhismormhermownmsafety?
a. Encouragemthemclient mand mfamilymtombemactivempartners.
b. Havemthemclient mmonitormhand mhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclient mtomalwaysmwearmhismormhermarmband.
ANS:m m A
Eachmactionmcould mbemimportant mformthemclient mormfamilymtomperform.mHowever,mencouragin
gmthemclient mtombemactiveminmhismormhermhealthmcaremasma mpartnerm ismthemmost mcritical.mThemoth
ermactionsmaremverymlimited minmscopemand mdomnot mprovidemthembroad mprotectionmthat mbeingmac
tivemand minvolved mdoes.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient msafetymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
3. Amnursemismcaringmformampostoperativemclient monmthemsurgicalmunit.mThemclient’smblood mpress
uremwasm142/76m mmmHgm30mminutesmago,mand mnow mism88/50m mmmHg.mWhat mactionmbymthem
nursemismbest?
a. CallmthemRapid mResponsemTeam.
b. Document mand mcontinuemtommonitor.
c. Notifymthemprimarymcaremprovider.
d. Repeat mblood mpressuremmeasurement minm15mminutes.
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Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
ANS:m m A
Thempurposemof mthemRapid mResponsemTeamm(RRT)mismtomintervenemwhenmclientsmare mdeteriora
tingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclient mhasmmanifested m
amsignificant mchange,mthemnursemshould mcallmthemRRT.mChangesminmblood mpressure, mmentalmsta
tus,mheart mrate,mand mpainmaremparticularlymsignificant.mDocumentationmismvital,mbut mthemnursem
must mdommoremthanmdocument.mThemprimarymcaremprovidermshould mbemnotified,mbut mthismismnot
mthemprioritymovermcallingmthemRRT.mThemclient’smblood mpressuremshould mbemreassessed mfreque
ntly,mbut mthemprioritymismgettingmthemrapid mcaremtomthemclient.
DIF: Applying/Application REF:
3m KEY:m Rapid mResponsemTeamm(RRT)|mmedicalme
mergencies
MSC:m Integrated mProcess:mCommunicationmand mDocumentation
NOT:m Client mNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-
centered mcareminmallminteractions.mWhichmactionmbymthemnursembest mdemonstratesmthismconcep
t?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare
b. Ensuresmthat mallmthemclients’mbasicmneedsmaremmet
c. Tellsmthemclient mand mfamilymabout mallmupcomingmtests
d. Thoroughlymorientsmthemclient mand mfamilymtomthemroom
ANS:m m A
Competencyminmclient-
focused mcaremismdemonstrated mwhenmthemnursemfocusesmonmcommunication,mculture,mrespect,mc
ompassion,mclient meducation,mand mempowerment.mBymassessingmthemeffect mof mthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticing
client-
focused mcare.mProvidingmformbasicmneedsmdoesmnot mdemonstratemthismcompetence.mSimplymte
llingmthemclient mabout mallmupcomingmtestsmismnot mprovidingmempoweringmeducation.mOrientin
gmthemclient mand mfamilymtomthemroommismanmimportant msafetymmeasure,mbut mnot mdirectlymrelate
d mtomdemonstratingmclient-centered mcare.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient-centered mcare|mculture
MSC:m Integrated mProcess:mCarin
gmNOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
5. Amclient mismgoingmtombemadmitted mformamscheduled msurgicalmprocedure.mWhichmactionmdoesmt
hemnursemexplainmismthemmost mimportant mthingmthemclient mcanmdomtomprotect magainst merrors?
a. Bringmamlist mof mallmmedicationsmand mwhat mtheymaremfor.
b. Keepmthemdoctor’smphonemnumbermbymthemtelephone.
c. Makemsuremallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemof meachmcaregivermwhomcomesminmthemroom.
ANS:m m A
Medicationmerrorsmaremthemmost mcommonmtypemof mhealthmcaremmistake.m ThemJoint mCommissi
on’smSpeakmUpmcampaignmencouragesmclientsmtomhelpmensuremtheirmsafety.mOnemrecommend
ationmismformclientsmtomknow mallmtheirmmedicationsmand mwhymtheymtakemthem.mThismwillmhelpm
prevent mmedicationmerrors.
DIF: Applying/Application REF: 4
KEY:m SpeakmUpmcampaign|mpatient msafety MSC:m Integrated mProcess:mTeaching/Learning
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Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
6. Whichmactionmbymthemnursemworkingmwithmamclient mbest mdemonstratesmrespect mformautonomy?
a. Asksmif mthemclient mhasmquestionsmbeforemsigningmamconsent
b. Givesmthemclient maccurateminformationmwhenmquestioned
c. Keepsmthempromisesmmademtomthemclient mand mfamily
d. Treatsmthemclient mfairlymcompared mtomothermclients
ANS:m m A
Autonomymismself-
determination.mThemclient mshould mmakemdecisionsmregardingmcare.mWhenmthemnursemobtainsmam
signaturemonmthemconsent mform,massessingmif mthemclient mstillmhasmquestionsmismvital,mbecausemwi
thout mfullminformationmthemclient mcannot mpracticemautonomy.mGivingmaccurateminformationmism
practicingmwithmveracity.mKeepingmpromisesmismupholdingmfidelity.mTreatingmthemclient mfairlymi
smprovidingmsocialmjustice.
DIF: Applying/Application REF: 4
KEY:m Autonomy|methicalmprinciples MSC:m Integrated mProcess:mCaring
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mManagement mof mCar
e
7. Amstudent mnursemasksmthemfacultymtomexplainmbest mpracticesmwhenmcommunicatingmwit
hmampersonmfrommthem lesbian,mgay,mbisexual, mtransgender,mand mqueer/questioning m(LG
BTQ)mcommunity.mWhat manswermbymthemfacultymismmost maccurate?
a. Avoid membarrassingmthemclient mbymaskingmquestions.
b. Don’t mmakemassumptionsmabout mtheirmhealthmneeds.
c. Most mLGBTQ mpeoplemdomnot mwant mtomshareminformation.
d. Nomdifferencesmexist minmcommunicatingmwithmthismpopulation.
ANS:m m B
Manymmembersmof mthemLGBTQ mcommunitymhavemfaced mdiscriminationmfrommhealthmcarempr
ovidersmand mmaymbemreluctant mtomseekmhealthmcare.mThemnursemshould mnevermmake massumptio
nsmabout mthemneedsmof mmembersmof mthismpopulation.mRather,mrespectfulmquestionsmaremappropr
iate.mIf mapproached mwithmsensitivity,mthemclient mwithmanymhealthmcaremneed mismmoremlikelymtom
answermhonestly.
DIF: Understanding/Comprehension REF: 4
KEY:m LGBTQ|mdiversitymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
8. Amnursemismcallingmthemon-
callmphysicianmabout mamclient mwhomhad mamhysterectomym2mdaysmagomand mhasmpainmthat mismunr
elieved mbymthemprescribed mnarcoticmpainmmedication.mWhichmstatement mismpart mof mthemSBAR
mformat mformcommunication?
a. A:m“I mwould mlikemyoumtomordermamdifferent mpainmmedication.”
b. B:m“Thismclient mhasmallergiesmtommorphinemand mcodeine.”
c. R:m“Dr.mSmithmdoesn’t mlikemnonsteroidalmanti-inflammatorymmeds.”
d. S:m“Thismclient mhad mamvaginalmhysterectomym2mdaysmago
.”mANS:m B
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