Medical Surgical
g g g g
Nursing 10th g
Edition Ignatavicius
g
Workman Test
g g g g
Bank
, Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgfo
rgMedical-SurgicalgNursinggIgnatavicius:gMedical-Surgical
Nursing,g10thgEdition
MULTIPLE
gCHOICE
Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgu
1.g
nit.gThegclient’sgbloodgpressuregwasg142/76gmmgHgg30
minutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongwould
gthegnursegtakegfirst?
a.g CallgthegRapidgResponsegTeam.
b.g Documentgandgcontinuegtogmonitor.
c.g Notifygthegprimaryghealthgcaregprovider.
d.g Repeatgthegbloodgpressureging15gminutes.
Btestbanks.com
ANS:gA
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtoginter
venegwhengclientsgaregdeterioratinggbeforegtheygsuffergeitherg
respiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedg
agsignificantgchange,gthegnursegwouldgcallgthegRRT.gChange
sgingbloodgpressure,gmentalgstatus,gheartgrate,gtemperature,go
xygengsaturation,gandglastg2ghours’gurinegoutputgaregparticula
rlygsignificantgandgaregpartgofgthe
ModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvit
al,gbutgthegnursegmustgdogmoregthangdocument.gThegprimaryg
healthgcaregprovidergwouldgbegnotified,gbutgthisgisgnotgmoregi
mportantgthangcallinggthegRRT.gThegclient’sgbloodgpressureg
wouldgbegreassessedgfrequently,gbutgthegprioritygisggettinggthe
grapidgcaregtogthegclient.
, DIF:g Applying
TOP:gIntegratedgProcess:
gCommunicationgandgDocumentationgKEY:gRapi
dgResponsegTeamg(RRT),gClinicalgjudgment
MSC:gClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysi
ologicalgAdaptation
2gAgnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnursegbestgde
monstratesgthisgconcept?
a.g Assessesgforgculturalginfluencesgaffectingghealthgcare.
b.g Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c.g Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d.g Thoroughlygorientsgthegclientgandgfamilygtogthegroom.gA
NS:gA
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgand
needsgisgessentialgtogensuregagholisticgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’
sgculturegonghealthgcare,gthisgnursegisgpracticinggclientfocusedgc
are.
Providinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompete
nce.gSimplygtellinggthegclientgaboutgallgupcominggtestsgisgnotg
providinggempoweringgeducation.gOrientinggthegclientgandgfa
milygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdire
ctlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF:g Understanding
TOP:gIntegratedgProcess:gCul
turegandgSpiritualitygKEY:g Client-centeredgcare,gCulture
gMSC:gClientgNeedsgCategory
:gPsychosocialgIntegrity
3gAgclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgpro
cedure.gWhichgactiongdoesgthegnursegexplaingisgthegmostgimp
ortantgthinggthegclientgcangdogtogprotectgagainstgerrors?
a.g Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b.g Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c.g Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegr
oom.
, d.g Writegdowngthegnamegofgeachgcaregivergwhogcomesgingth
egroom.
ANS:gA
Medicationgreconciliationgisgagformalgprocessgingwhichgthegcl
ient’sgactualgcurrentgmedicationsgaregcomparedgtogthe
prescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gor
gdischarge.gThisgNationalgclientgSafetygGoalgisgimportantgtog
reducegmedicationgerrors.gThegclientgwouldgnotghavegtogbegr
esponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthe
gclientgdoesgso,gthisgisgtoognarrowgtogbegthegmostgimportant
actiongtogpreventgerrors.gKeepinggthegprovider’sgphonegnumb
ergnearbygandgdocumentinggeveryonegwhogentersgthegroomgal
sogdognotgguaranteegsafety.
DIF:g Applying TOP:
IntegratedgProcess:gTeaching/Learning
gKEY:gClientgsafety,gInformatics
MSC:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvir
onment:gSafetygandgInfectiongControl
Btestbanks.com
4.gAgnewgnursegisgworkinggwithgagpreceptorgongagmedicalsurgic
algunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgt
hegprioritygwhengworkinggasgagprofessionalgnurse?ga.gAttendi
nggtogholisticgclientgneeds
b.g Ensuringgclientgsafety
c.g Notgmakinggmedicationgerrors
d.g Providinggclient-focusedgcare
g g g g
Nursing 10th g
Edition Ignatavicius
g
Workman Test
g g g g
Bank
, Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgfo
rgMedical-SurgicalgNursinggIgnatavicius:gMedical-Surgical
Nursing,g10thgEdition
MULTIPLE
gCHOICE
Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgu
1.g
nit.gThegclient’sgbloodgpressuregwasg142/76gmmgHgg30
minutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongwould
gthegnursegtakegfirst?
a.g CallgthegRapidgResponsegTeam.
b.g Documentgandgcontinuegtogmonitor.
c.g Notifygthegprimaryghealthgcaregprovider.
d.g Repeatgthegbloodgpressureging15gminutes.
Btestbanks.com
ANS:gA
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtoginter
venegwhengclientsgaregdeterioratinggbeforegtheygsuffergeitherg
respiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedg
agsignificantgchange,gthegnursegwouldgcallgthegRRT.gChange
sgingbloodgpressure,gmentalgstatus,gheartgrate,gtemperature,go
xygengsaturation,gandglastg2ghours’gurinegoutputgaregparticula
rlygsignificantgandgaregpartgofgthe
ModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvit
al,gbutgthegnursegmustgdogmoregthangdocument.gThegprimaryg
healthgcaregprovidergwouldgbegnotified,gbutgthisgisgnotgmoregi
mportantgthangcallinggthegRRT.gThegclient’sgbloodgpressureg
wouldgbegreassessedgfrequently,gbutgthegprioritygisggettinggthe
grapidgcaregtogthegclient.
, DIF:g Applying
TOP:gIntegratedgProcess:
gCommunicationgandgDocumentationgKEY:gRapi
dgResponsegTeamg(RRT),gClinicalgjudgment
MSC:gClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysi
ologicalgAdaptation
2gAgnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnursegbestgde
monstratesgthisgconcept?
a.g Assessesgforgculturalginfluencesgaffectingghealthgcare.
b.g Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c.g Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d.g Thoroughlygorientsgthegclientgandgfamilygtogthegroom.gA
NS:gA
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgand
needsgisgessentialgtogensuregagholisticgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’
sgculturegonghealthgcare,gthisgnursegisgpracticinggclientfocusedgc
are.
Providinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompete
nce.gSimplygtellinggthegclientgaboutgallgupcominggtestsgisgnotg
providinggempoweringgeducation.gOrientinggthegclientgandgfa
milygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdire
ctlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF:g Understanding
TOP:gIntegratedgProcess:gCul
turegandgSpiritualitygKEY:g Client-centeredgcare,gCulture
gMSC:gClientgNeedsgCategory
:gPsychosocialgIntegrity
3gAgclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgpro
cedure.gWhichgactiongdoesgthegnursegexplaingisgthegmostgimp
ortantgthinggthegclientgcangdogtogprotectgagainstgerrors?
a.g Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b.g Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c.g Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegr
oom.
, d.g Writegdowngthegnamegofgeachgcaregivergwhogcomesgingth
egroom.
ANS:gA
Medicationgreconciliationgisgagformalgprocessgingwhichgthegcl
ient’sgactualgcurrentgmedicationsgaregcomparedgtogthe
prescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gor
gdischarge.gThisgNationalgclientgSafetygGoalgisgimportantgtog
reducegmedicationgerrors.gThegclientgwouldgnotghavegtogbegr
esponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthe
gclientgdoesgso,gthisgisgtoognarrowgtogbegthegmostgimportant
actiongtogpreventgerrors.gKeepinggthegprovider’sgphonegnumb
ergnearbygandgdocumentinggeveryonegwhogentersgthegroomgal
sogdognotgguaranteegsafety.
DIF:g Applying TOP:
IntegratedgProcess:gTeaching/Learning
gKEY:gClientgsafety,gInformatics
MSC:gClientgNeedsgCategory:gSafegandgEffectivegCaregEnvir
onment:gSafetygandgInfectiongControl
Btestbanks.com
4.gAgnewgnursegisgworkinggwithgagpreceptorgongagmedicalsurgic
algunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgt
hegprioritygwhengworkinggasgagprofessionalgnurse?ga.gAttendi
nggtogholisticgclientgneeds
b.g Ensuringgclientgsafety
c.g Notgmakinggmedicationgerrors
d.g Providinggclient-focusedgcare
