CreatedgBy:gAgSolution
Timby's Introductory Medical-
g g
Surgical Nursing 13th Edition by Moreno Test Bank A+
g g g g g g g g
Chapterg1 ConceptsgandgTrendsgingHealthcare
Agnewgnursegisgworkinggwithgagpreceptorgonganginpatientgmedical-
surgicalgunit.gThegpreceptorgadvisesgthegstudentgthatgwhichgisgthegprioritygwhengworkinggasgagpro
fessionalgnurse?
AttendinggtogholisticgclientgneedsgEnsur
inggclientgsafety
NotgmakinggmedicationgerrorsgProvidin
ggclient-gfocusedgcaregANS:gB
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgthegpri
ority.gUpgtog98,000gdeathsgresultgeachgyeargfromgerrorsginghospitalgcare,gaccordinggtogtheg2000gI
nstitutegofgMedicinegreport.gManygmoregclientsghavegsufferedginjuriesgandglessgseriousgoutcomes.
gEverygnurseghasgthegresponsibilitygtogguardgthegclientsgsafety.
DIF:gUnderstanding/ComprehensiongREF:g2gKEY:gPatientgsafetygMSC:gIntegratedgProcess:gNurs
inggProcess:gIntervention
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
Agnursegisgorientinggagnewgclientgandgfamilygtogtheginpatientgunit.gWhatginformationgdoesgthegn
ursegprovidegtoghelpgthegclientgpromoteghisgorghergowngsafety?
Encouragegthegclientgandgfamilygtogbegactivegpartners.g
Havegthegclientgmonitorghandghygienegingcaregivers.gOf
fergthegfamilygthegopportunitygtogstaygwithgthegclient.
A+ Pageg1
,CreatedgBy:gAgSolution
Tellgthegclientgtogalwaysgwearghisgorghergarmband.gANS:gA
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthegcl
ientgtogbegactiveginghisgorgherghealthgcaregasgagpartnergisgthegmostgcritical.gThegothergactionsgare
◦
veryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegandginvolvedgdo
es.
DIF:gUnderstanding/ComprehensiongREF:g3gKEY:gPatientgsafetygMSC:gIntegratedgProcess:gTeac
hing/gLearning
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCare
Environment:gSafetygandgInfectiongControl
Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclientsgbloodgpressuregwasg
142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongbygthegnursegisgbest?
CallgthegRapidgResponsegTeam.gDocu
mentgandgcontinuegtogmonitor.gNotifygt
hegprimarygcaregprovider.
Repeatgbloodgpressuregmeasurementging15gminutes.gANS:gA
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeterioratingg
beforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsignifica
ntgchange,gthegnursegshouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,gheartgrate,ga
ndgpaingaregparticularlygsignificant.gDocumentationgisgvital,gbutgthegnursegmustgdogmoregthangdo
cument.gThegprimarygcaregprovidergshouldgbegnotified,gbutgthisgisgnotgthegprioritygovergcalling
A+ Pageg2
,CreatedgBy:gAgSolution
thegRRT.gThegclientsgbloodgpressuregshouldgbegreassessedgfrequently,gbutgthegprioritygisggettingg
thegrapidgcaregtogthegclient.
DIF:gApplying/ApplicationgREF:g3
KEY:gRapidgResponsegTeamg(RRT)|gmedicalgemergenciesgMSC:gIntegratedgProcess:gCommunic
ationgandgDocumentation
NOT:gClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
◦
Agnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnursegbestgdemonstratesgthisgconcept?
AssessesgforgculturalginfluencesgaffectingghealthgcaregEn
suresgthatgallgthegclientsgbasicgneedsgaregmet
TellsgthegclientgandgfamilygaboutgallgupcominggtestsgThorough
lygorientsgthegclientgandgfamilygtogthegroomgANS:gA
Competencygingclient-
focusedgcaregisgdemonstratedgwhengthegnursegfocusesgongcommunication,gculture,grespect,gcomp
assion,gclientgeducation,gandgempowerment.gBygassessinggthegeffectgofgthe
◦
clientsgculturegonghealthgcare,gthisgnursegisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompetence.gSimplygtellinggth
egclientgaboutgallgupcominggtestsgisgnotgprovidinggempoweringgeducation.gOrientinggthegclientgan
dgfamilygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdirectlygrelatedgtogdemonstratinggcl
ient-centeredgcare.
DIF:gUnderstanding/ComprehensiongREF:g3
A+ Pageg3
, CreatedgBy:gAgSolution
KEY:gPatient-
centeredgcare|gculturegMSC:gIntegratedgProcess:gCaringgNOT:gClientgNeedsgCategory:
PsychosocialgIntegrity
Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgthegnurse
gexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.gKe
epgthegdoctorsgphonegnumbergbygthegtelephone.
Makegsuregallgprovidersgwashghandsgbeforegenteringgthegroom.
Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.gANS:gA
Medicationgerrorsgaregthegmostgcommongtypegofghealthgcaregmistake.gThegJointgCommissionsgSp
eakgUpgcampaigngencouragesgclientsgtoghelpgensuregtheirgsafety.gOnegrecommendationgisgforgclie
ntsgtogknowgallgtheirgmedicationsgandgwhygtheygtakegthem.gThisgwillghelpgpreventgmedicationgerr
ors.
DIF:gApplying/ApplicationgREF:g4
KEY:gSpeakgUpgcampaign|gpatientgsafetygMSC:gIntegratedgProcess:gTeaching/LearninggNOT:gCl
ientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControlgWhic
hgactiongbygthegnursegworkinggwithgagclientgbestgdemonstratesgrespectgforgautonomy?
Asksgifgthegclientghasgquestionsgbeforegsigninggagconsent
gGivesgthegclientgaccurateginformationgwhengquestionedg
Keepsgthegpromisesgmadegtogthegclientgandgfamily
TreatsgthegclientgfairlygcomparedgtogothergclientsgANS:gA
A+ Pageg4
Timby's Introductory Medical-
g g
Surgical Nursing 13th Edition by Moreno Test Bank A+
g g g g g g g g
Chapterg1 ConceptsgandgTrendsgingHealthcare
Agnewgnursegisgworkinggwithgagpreceptorgonganginpatientgmedical-
surgicalgunit.gThegpreceptorgadvisesgthegstudentgthatgwhichgisgthegprioritygwhengworkinggasgagpro
fessionalgnurse?
AttendinggtogholisticgclientgneedsgEnsur
inggclientgsafety
NotgmakinggmedicationgerrorsgProvidin
ggclient-gfocusedgcaregANS:gB
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgthegpri
ority.gUpgtog98,000gdeathsgresultgeachgyeargfromgerrorsginghospitalgcare,gaccordinggtogtheg2000gI
nstitutegofgMedicinegreport.gManygmoregclientsghavegsufferedginjuriesgandglessgseriousgoutcomes.
gEverygnurseghasgthegresponsibilitygtogguardgthegclientsgsafety.
DIF:gUnderstanding/ComprehensiongREF:g2gKEY:gPatientgsafetygMSC:gIntegratedgProcess:gNurs
inggProcess:gIntervention
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
Agnursegisgorientinggagnewgclientgandgfamilygtogtheginpatientgunit.gWhatginformationgdoesgthegn
ursegprovidegtoghelpgthegclientgpromoteghisgorghergowngsafety?
Encouragegthegclientgandgfamilygtogbegactivegpartners.g
Havegthegclientgmonitorghandghygienegingcaregivers.gOf
fergthegfamilygthegopportunitygtogstaygwithgthegclient.
A+ Pageg1
,CreatedgBy:gAgSolution
Tellgthegclientgtogalwaysgwearghisgorghergarmband.gANS:gA
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthegcl
ientgtogbegactiveginghisgorgherghealthgcaregasgagpartnergisgthegmostgcritical.gThegothergactionsgare
◦
veryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegandginvolvedgdo
es.
DIF:gUnderstanding/ComprehensiongREF:g3gKEY:gPatientgsafetygMSC:gIntegratedgProcess:gTeac
hing/gLearning
NOT:gClientgNeedsgCategory:gSafegandgEffectivegCare
Environment:gSafetygandgInfectiongControl
Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclientsgbloodgpressuregwasg
142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongbygthegnursegisgbest?
CallgthegRapidgResponsegTeam.gDocu
mentgandgcontinuegtogmonitor.gNotifygt
hegprimarygcaregprovider.
Repeatgbloodgpressuregmeasurementging15gminutes.gANS:gA
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeterioratingg
beforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsignifica
ntgchange,gthegnursegshouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,gheartgrate,ga
ndgpaingaregparticularlygsignificant.gDocumentationgisgvital,gbutgthegnursegmustgdogmoregthangdo
cument.gThegprimarygcaregprovidergshouldgbegnotified,gbutgthisgisgnotgthegprioritygovergcalling
A+ Pageg2
,CreatedgBy:gAgSolution
thegRRT.gThegclientsgbloodgpressuregshouldgbegreassessedgfrequently,gbutgthegprioritygisggettingg
thegrapidgcaregtogthegclient.
DIF:gApplying/ApplicationgREF:g3
KEY:gRapidgResponsegTeamg(RRT)|gmedicalgemergenciesgMSC:gIntegratedgProcess:gCommunic
ationgandgDocumentation
NOT:gClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
◦
Agnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnursegbestgdemonstratesgthisgconcept?
AssessesgforgculturalginfluencesgaffectingghealthgcaregEn
suresgthatgallgthegclientsgbasicgneedsgaregmet
TellsgthegclientgandgfamilygaboutgallgupcominggtestsgThorough
lygorientsgthegclientgandgfamilygtogthegroomgANS:gA
Competencygingclient-
focusedgcaregisgdemonstratedgwhengthegnursegfocusesgongcommunication,gculture,grespect,gcomp
assion,gclientgeducation,gandgempowerment.gBygassessinggthegeffectgofgthe
◦
clientsgculturegonghealthgcare,gthisgnursegisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompetence.gSimplygtellinggth
egclientgaboutgallgupcominggtestsgisgnotgprovidinggempoweringgeducation.gOrientinggthegclientgan
dgfamilygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdirectlygrelatedgtogdemonstratinggcl
ient-centeredgcare.
DIF:gUnderstanding/ComprehensiongREF:g3
A+ Pageg3
, CreatedgBy:gAgSolution
KEY:gPatient-
centeredgcare|gculturegMSC:gIntegratedgProcess:gCaringgNOT:gClientgNeedsgCategory:
PsychosocialgIntegrity
Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgthegnurse
gexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.gKe
epgthegdoctorsgphonegnumbergbygthegtelephone.
Makegsuregallgprovidersgwashghandsgbeforegenteringgthegroom.
Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.gANS:gA
Medicationgerrorsgaregthegmostgcommongtypegofghealthgcaregmistake.gThegJointgCommissionsgSp
eakgUpgcampaigngencouragesgclientsgtoghelpgensuregtheirgsafety.gOnegrecommendationgisgforgclie
ntsgtogknowgallgtheirgmedicationsgandgwhygtheygtakegthem.gThisgwillghelpgpreventgmedicationgerr
ors.
DIF:gApplying/ApplicationgREF:g4
KEY:gSpeakgUpgcampaign|gpatientgsafetygMSC:gIntegratedgProcess:gTeaching/LearninggNOT:gCl
ientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControlgWhic
hgactiongbygthegnursegworkinggwithgagclientgbestgdemonstratesgrespectgforgautonomy?
Asksgifgthegclientghasgquestionsgbeforegsigninggagconsent
gGivesgthegclientgaccurateginformationgwhengquestionedg
Keepsgthegpromisesgmadegtogthegclientgandgfamily
TreatsgthegclientgfairlygcomparedgtogothergclientsgANS:gA
A+ Pageg4
