10/31/23,m5:28mA Testmbankm-mmedicalmsurgicalmnursingm10thmeditionmignataviciusmworkman-
M bte…
Medical Surgical Nursing 10th Edition Ig
m m m m m
natavicius Workman Test Bank
m m m
Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-
Surgical mNursingm Ignatavicius:mMedical-SurgicalmNursing,m10thmEdition
MULTIPLEm CHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthem newmnursemthatmwhichmismthemprioritymwhen
m workingmasma m professional mnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessional mnurse.mHowever,mensuringmclientmsafety
mismthem priority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymof
mwhichmresult minm clientminjury,mdeath,mandm increasedmhealthm carem costs. m Theremarem sev
eralmnationalmandm internationalmorganizationsmthatmhavemeithermrecommendedmormmandat
edmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermactionsmarem
important
formqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmmedica
tionmerrorsm doesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.
DIF:m Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInterven
tionm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationm doesmthemnursemprovidemtombestmhelpmthemclientmpr
omotemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencour
agingmthem clientmtombemactiveminmhismormhermhealthmcaremasmamsafetympartnermismthemm
ostmcritical.mThemotherm actionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroa
dmprotectionmthatmbeingmactivemandm involvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess:mTeaching/Learni
ngm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’smbloo
dmpressurem wasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhat
mactionmwould mthemnursem takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
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ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdet
erioratingm beforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhas
m manifestedmam significant mchange,mthem nurse m wouldmcallmthem RRT.mChangesminmbloodm
pressure,mmentalmstatus,m heartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours’m
urinemoutputmaremparticularlym significantmandmarempartmofmthemModifiedmEarlymWarning
mSystemmguide. mDocumentationmismvital,m but mthem nursem mustm dom moremthanm document.
mThem primarym healthmcaremproviderm wouldm bem notified,m butm thismism not m moremimportan
tmthanmcallingmthemRRT.mThemclient’smbloodmpressurem wouldmbemreassessedmfrequently,
m butmthem prioritymismgettingmthemrapidm caremtomthem client.
DIF:m Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocumenta
tionm KEY:mRapidmResponsemTeamm(RRT),mClinicalmjudgment
MSC:m Clientm Needsm Category:m Physiologicalm Integrity:m Physiologicalm Adaptation
4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmtomensu
rema
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonm healthmc
are,mthismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotm demonstratemthismcompetence.mSimp
lymtellingmthemclientmaboutmallmupcomingmtestsmismnotm providingmempoweringmeducation
.mOrientingmthemclientmandmfamilymtomthemroommismanmimportantm safetymmeasure,mbutmn
otmdirectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritualit
ym KEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmInte
grity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactio
nmdoesmthem nursemexplainmismthemmostmimportantmthingmthemclientmcanmdomtomprote
ctmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrentmmedi
cationsm aremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmission,mtransfe
r,mormdischarge.m ThismNationalmclientmSafetymGoalmismimportantmtomreducemmedicationm
errors.mThemclientmwouldm notmhavemtombemresponsiblemformprovidersmwashingmtheirmhan
ds,mandmevenmifmthemclientmdoesmso,
thismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeepingmthempr
ovider’sm phonemnumbermnearbymandmdocumentingmeveryonemwhomentersmthemroommalsom
domnotmguaranteem safety.
DIF:m Applying
TOP:m IntegratedmProcess:mTeaching/Learni
ngm KEY:mClientmsafety,mInformatics
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
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M bte…
Medical Surgical Nursing 10th Edition Ig
m m m m m
natavicius Workman Test Bank
m m m
Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-
Surgical mNursingm Ignatavicius:mMedical-SurgicalmNursing,m10thmEdition
MULTIPLEm CHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthem newmnursemthatmwhichmismthemprioritymwhen
m workingmasma m professional mnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessional mnurse.mHowever,mensuringmclientmsafety
mismthem priority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymof
mwhichmresult minm clientminjury,mdeath,mandm increasedmhealthm carem costs. m Theremarem sev
eralmnationalmandm internationalmorganizationsmthatmhavemeithermrecommendedmormmandat
edmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermactionsmarem
important
formqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmmedica
tionmerrorsm doesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.
DIF:m Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInterven
tionm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationm doesmthemnursemprovidemtombestmhelpmthemclientmpr
omotemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencour
agingmthem clientmtombemactiveminmhismormhermhealthmcaremasmamsafetympartnermismthemm
ostmcritical.mThemotherm actionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroa
dmprotectionmthatmbeingmactivemandm involvedmdoes.
DIF:m Understanding
TOP:mIntegratedmProcess:mTeaching/Learni
ngm KEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’smbloo
dmpressurem wasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhat
mactionmwould mthemnursem takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
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ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdet
erioratingm beforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhas
m manifestedmam significant mchange,mthem nurse m wouldmcallmthem RRT.mChangesminmbloodm
pressure,mmentalmstatus,m heartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours’m
urinemoutputmaremparticularlym significantmandmarempartmofmthemModifiedmEarlymWarning
mSystemmguide. mDocumentationmismvital,m but mthem nursem mustm dom moremthanm document.
mThem primarym healthmcaremproviderm wouldm bem notified,m butm thismism not m moremimportan
tmthanmcallingmthemRRT.mThemclient’smbloodmpressurem wouldmbemreassessedmfrequently,
m butmthem prioritymismgettingmthemrapidm caremtomthem client.
DIF:m Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocumenta
tionm KEY:mRapidmResponsemTeamm(RRT),mClinicalmjudgment
MSC:m Clientm Needsm Category:m Physiologicalm Integrity:m Physiologicalm Adaptation
4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmtomensu
rema
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonm healthmc
are,mthismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotm demonstratemthismcompetence.mSimp
lymtellingmthemclientmaboutmallmupcomingmtestsmismnotm providingmempoweringmeducation
.mOrientingmthemclientmandmfamilymtomthemroommismanmimportantm safetymmeasure,mbutmn
otmdirectlymrelatedmtomdemonstratingmclient-centeredmcare.
DIF:m Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritualit
ym KEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmInte
grity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactio
nmdoesmthem nursemexplainmismthemmostmimportantmthingmthemclientmcanmdomtomprote
ctmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrentmmedi
cationsm aremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmission,mtransfe
r,mormdischarge.m ThismNationalmclientmSafetymGoalmismimportantmtomreducemmedicationm
errors.mThemclientmwouldm notmhavemtombemresponsiblemformprovidersmwashingmtheirmhan
ds,mandmevenmifmthemclientmdoesmso,
thismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeepingmthempr
ovider’sm phonemnumbermnearbymandmdocumentingmeveryonemwhomentersmthemroommalsom
domnotmguaranteem safety.
DIF:m Applying
TOP:m IntegratedmProcess:mTeaching/Learni
ngm KEY:mClientmsafety,mInformatics
MSC:m ClientmNeedsmCategory:mSafemandm EffectivemCaremEnvironment:mSafetym andmInfectionmCo
ntrol
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