abirb.com/test
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
SurgicalgNursinggIgnatavicius:gabirb.com/test
Medical-SurgicalgNursing,g10thgEdition
MULTIPLEgCHOICE abirb.com/test
1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgthegprioritygwhengworkingg
asgagprofessionalgnurse? abirb.com/test
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
abirb.com/test
d. Providinggclient-focusedgcareg
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgth
abirb .com/tes t
egpriority.gHealthgcaregerrorsghave beeng widely reportedg forg25gyears,gmanygofgwhichgresul
tgingclientginjury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgnationalgand
internationalgorganizationsgthatghavegeithergrecommendedgorgmandatedgsafetyginitiatives.gEve
rygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregimportantgfo
abirb.com/test
rgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicationgerrorsg
doesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.
DIF:
Understanding
abirb.com /test
TOP: IntegratedgProcess:gNursinggProcess:gIntervention
gKEY:g Clientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
abirb.com / t e s t
2. Agnursegisgorientinggagnewgclientgand family togt h e m e d i c a l -
surgicalgunit.gWhatginformationgdoesgthegnursegprovidegtogbestghelpgthegclientgpromoteghisgorg
hergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
abirb.com/test
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A abirb.com/test
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthe
clientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgcritical.gThegotherg
actionsgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegan
d
involvedgdoes. abirb.com/test
DIF: Understanding TOP:g IntegratedgProcess:gTeaching/Learning
KEY:g Clientgsafet abirb.com/test
y
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgbloodgpressur
egwasg142/76gmmgHgg30gminutes ago, and now is 88/50 mmgHg.gWhatgactiongwouldgthegnu
takegfirst?
abirb.com/test
rse
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
abirb.com/test
c. Notifygthegprimaryghealthgcaregprovider.
abirb.com/test
, abirb.com/test
d. Repeatgthegbloodgpressureging15gminutes.
abirb.com/test
abirb.com/test
, abirb.com/test
ANS:g A
abirb.com/tes t
ThegpurposegofgthegRapidgResponse Team (RRT) isg t o intervene gwhengclientsgaregdeterioratin
ggbeforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsig
nificantgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,ghea
rtgrate,gtemperature,goxygengsaturation,gandglastg2ghours’gurinegoutputgaregparticularlygsignific
abirb.com/test
antgandgaregpartgofgthegModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvital,gbutgth
egnursegmustgdogmoregthangdocument.gThegprimaryghealthgcaregprovidergwouldgbegnotified,gb
utgthisgisgnotgmoregimportantgthangcallinggthegRRT.gThegclient’sgbloodgpressuregwouldgbegrea
abirb.com/test
ssessedgfrequently,gbutgthegprioritygisggettinggthegrapidgcaregtogthegclient.
DIF: Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentationgKEY:g Rapidg
abirb.com/test
ResponsegTeamg(RRT),gClinicalgjudgment
MSC:g ClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
4. Agnursegwishesgtogprovidegclient-centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
a birb.com/test
bestgdemonstratesgthisgconcep t?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
abirb.com/test
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensuregagho
listicgorg“whole- abirb.com/test
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegonghealthgcare,gthisgn
ursegisgpracticinggclient-focusedgcare.gProvidinggforgbasicgneedsgdoesgnot
demonstrategthisgcompetence.gSimplygtellinggthegclientgaboutgallgupcominggtestsgisgnotgprovid
abirb.com/test
inggempoweringgeducation. Orienting the clientg andgfamilygtogthegroomgisgangimportantgsafety
gmeasure,gbutgnotgdirectlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF: Understanding abirb.cToOPm
: Integrated Process: Culture and Spirituality
g g g g
KEY:g Client-centeredgcare,gCulture /tesNeeds
MSC: Client
g t Category: Psychosocial Integrity
g g g g
5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgth
egnursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
abirb.com/test
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
abirb.com/test
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedications
abirb.com/test
garegcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gorgdischarge.g
ThisgNationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerrors.gThegclientgwouldg
notghavegtogbegresponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthegclientgdoesgso,g
thisgisgtoognarrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegprovider’sg
abirb.com/test
phonegnumbergnearbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdognotgguarantee
gsafety.
DIF: Applying
a b irb .c o m/ te s t
TOP:g Int eg rat e d Pr o ce ss: Te ac h in g/ Learning gKEY:g Clientg
safety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
abirb.com/test
, abirb.com/test
abirb.com/test
abirb.com/test
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
SurgicalgNursinggIgnatavicius:gabirb.com/test
Medical-SurgicalgNursing,g10thgEdition
MULTIPLEgCHOICE abirb.com/test
1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgthegprioritygwhengworkingg
asgagprofessionalgnurse? abirb.com/test
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
abirb.com/test
d. Providinggclient-focusedgcareg
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgth
abirb .com/tes t
egpriority.gHealthgcaregerrorsghave beeng widely reportedg forg25gyears,gmanygofgwhichgresul
tgingclientginjury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgnationalgand
internationalgorganizationsgthatghavegeithergrecommendedgorgmandatedgsafetyginitiatives.gEve
rygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregimportantgfo
abirb.com/test
rgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicationgerrorsg
doesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.
DIF:
Understanding
abirb.com /test
TOP: IntegratedgProcess:gNursinggProcess:gIntervention
gKEY:g Clientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
abirb.com / t e s t
2. Agnursegisgorientinggagnewgclientgand family togt h e m e d i c a l -
surgicalgunit.gWhatginformationgdoesgthegnursegprovidegtogbestghelpgthegclientgpromoteghisgorg
hergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
abirb.com/test
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A abirb.com/test
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthe
clientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgcritical.gThegotherg
actionsgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegan
d
involvedgdoes. abirb.com/test
DIF: Understanding TOP:g IntegratedgProcess:gTeaching/Learning
KEY:g Clientgsafet abirb.com/test
y
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgbloodgpressur
egwasg142/76gmmgHgg30gminutes ago, and now is 88/50 mmgHg.gWhatgactiongwouldgthegnu
takegfirst?
abirb.com/test
rse
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
abirb.com/test
c. Notifygthegprimaryghealthgcaregprovider.
abirb.com/test
, abirb.com/test
d. Repeatgthegbloodgpressureging15gminutes.
abirb.com/test
abirb.com/test
, abirb.com/test
ANS:g A
abirb.com/tes t
ThegpurposegofgthegRapidgResponse Team (RRT) isg t o intervene gwhengclientsgaregdeterioratin
ggbeforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsig
nificantgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,ghea
rtgrate,gtemperature,goxygengsaturation,gandglastg2ghours’gurinegoutputgaregparticularlygsignific
abirb.com/test
antgandgaregpartgofgthegModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvital,gbutgth
egnursegmustgdogmoregthangdocument.gThegprimaryghealthgcaregprovidergwouldgbegnotified,gb
utgthisgisgnotgmoregimportantgthangcallinggthegRRT.gThegclient’sgbloodgpressuregwouldgbegrea
abirb.com/test
ssessedgfrequently,gbutgthegprioritygisggettinggthegrapidgcaregtogthegclient.
DIF: Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentationgKEY:g Rapidg
abirb.com/test
ResponsegTeamg(RRT),gClinicalgjudgment
MSC:g ClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
4. Agnursegwishesgtogprovidegclient-centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
a birb.com/test
bestgdemonstratesgthisgconcep t?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
abirb.com/test
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensuregagho
listicgorg“whole- abirb.com/test
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegonghealthgcare,gthisgn
ursegisgpracticinggclient-focusedgcare.gProvidinggforgbasicgneedsgdoesgnot
demonstrategthisgcompetence.gSimplygtellinggthegclientgaboutgallgupcominggtestsgisgnotgprovid
abirb.com/test
inggempoweringgeducation. Orienting the clientg andgfamilygtogthegroomgisgangimportantgsafety
gmeasure,gbutgnotgdirectlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF: Understanding abirb.cToOPm
: Integrated Process: Culture and Spirituality
g g g g
KEY:g Client-centeredgcare,gCulture /tesNeeds
MSC: Client
g t Category: Psychosocial Integrity
g g g g
5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgth
egnursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
abirb.com/test
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
abirb.com/test
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedications
abirb.com/test
garegcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gorgdischarge.g
ThisgNationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerrors.gThegclientgwouldg
notghavegtogbegresponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthegclientgdoesgso,g
thisgisgtoognarrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegprovider’sg
abirb.com/test
phonegnumbergnearbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdognotgguarantee
gsafety.
DIF: Applying
a b irb .c o m/ te s t
TOP:g Int eg rat e d Pr o ce ss: Te ac h in g/ Learning gKEY:g Clientg
safety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
abirb.com/test
, abirb.com/test
abirb.com/test
abirb.com/test
