10/31/23,g5:28gA Testgbankg-gmedicalgsurgicalgnursingg10thgeditiongignataviciusgworkman-
M bte…
MedicalgSurgicalgNursingg10thgEditiongIg
nataviciusgWorkmangTestgBank
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
SurgicalgNursingg Ignatavicius:gMedical-SurgicalgNursing,g10thgEdition
MULTIPLEg CHOICE
1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgtheg newgnursegthatgwhichgisgthegprioritygwhengw
orkinggasgagprofessionalgnurse?
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
d. Providinggclient-focusedgcare
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygi
sgtheg priority.gHealthgcaregerrorsghavegbeengwidelygreportedgforg25gyears,gmanygofgwh
ichgresultging clientginjury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgn
ationalgandg internationalgorganizationsgthatghavegeithergrecommendedgorgmandatedgsafe
tyginitiatives.
Everygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregi
mportant
forgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicati
ongerrorsg doesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.
DIF:g Understanding
TOP:g IntegratedgProcess:gNursinggProcess:gIntervent
iong KEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
2. Agnursegisgorientinggagnewgclientgandgfamilygtogthegmedical-
surgicalgunit.gWhatginformationg doesgthegnursegprovidegtogbestghelpgthegclientgpro
moteghisgorghergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencourag
inggtheg clientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgc
ritical.gThegotherg actionsgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprot
ectiongthatgbeinggactivegandg involvedgdoes.
DIF:g Understanding
TOP:gIntegratedgProcess:gTeaching/Learni
ngg KEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgblood
gpressureg wasg142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgact
iongwouldgthegnurseg takegfirst?
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
c. Notifygthegprimaryghealthgcaregprovider.
d. Repeatgthegbloodgpressureging15gminutes.
about:blank 1/601
,10/31/23,g5:28gA Testgbankg-gmedicalgsurgicalgnursingg10thgeditiongignataviciusgworkman-
M bte…
Btestbanks.com
about:blank 2/601
,10/31/23,g5:28gA Testgbankg-gmedicalgsurgicalgnursingg10thgeditiongignataviciusgworkman-
M bte…
ANS:g A
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeter
ioratingg beforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgma
nifestedgag significantgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressu
re,gmentalgstatus,g heartgrate,gtemperature,goxygengsaturation,gandglastg2ghours’gurinego
utputgaregparticularlyg significantgandgaregpartgofgthegModifiedgEarlygWarninggSystemg
guide.gDocumentationgisgvital,g butgthegnursegmustgdogmoregthangdocument.gThegprima
ryghealthgcaregprovidergwouldgbeg notified,gbutgthisgisgnotgmoregimportantgthangcalling
gthegRRT.gThegclient’sgbloodgpressureg wouldgbegreassessedgfrequently,gbutgthegpriorit
ygisggettinggthegrapidgcaregtogthegclient.
DIF:g Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentat
iong KEY:gRapidgResponsegTeamg(RRT),gClinicalgjudgment
MSC:g Clientg Needsg Category:g Physiologicalg Integrity:g Physiologicalg Adaptation
4. Agnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
bestgdemonstratesgthisgconcept?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensure
ga
holisticgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegong healthgcar
e,gthisgnursegisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotg demonstrategthisgcompetence.gSimpl
ygtellinggthegclientgaboutgallgupcominggtestsgisgnotg providinggempoweringgeducation.g
Orientinggthegclientgandgfamilygtogthegroomgisgangimportantg safetygmeasure,gbutgnotgd
irectlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF:g Understanding
TOP:gIntegratedgProcess:gCulturegandgSpiritualit
yg KEY:g Client-centeredgcare,gCulture
MSC:g ClientgNeedsgCategory:gPsychosocialgInteg
rity
5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiong
doesgtheg nursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectga
gainstgerrors?
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedic
ationsg aregcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,g
orgdischarge.g ThisgNationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerror
s.gThegclientgwouldg notghavegtogbegresponsiblegforgprovidersgwashinggtheirghands,gan
dgevengifgthegclientgdoesgso,
thisgisgtoognarrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegpro
vider’sg phonegnumbergnearbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdo
gnotgguaranteeg safety.
DIF:g Applying
TOP:g IntegratedgProcess:gTeaching/Learni
ngg KEY:gClientgsafety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
about:blank 3/601
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M rol bte…
Btestbanks.com
about:blank 4/601
M bte…
MedicalgSurgicalgNursingg10thgEditiongIg
nataviciusgWorkmangTestgBank
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
SurgicalgNursingg Ignatavicius:gMedical-SurgicalgNursing,g10thgEdition
MULTIPLEg CHOICE
1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgtheg newgnursegthatgwhichgisgthegprioritygwhengw
orkinggasgagprofessionalgnurse?
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
d. Providinggclient-focusedgcare
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygi
sgtheg priority.gHealthgcaregerrorsghavegbeengwidelygreportedgforg25gyears,gmanygofgwh
ichgresultging clientginjury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgn
ationalgandg internationalgorganizationsgthatghavegeithergrecommendedgorgmandatedgsafe
tyginitiatives.
Everygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregi
mportant
forgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicati
ongerrorsg doesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.
DIF:g Understanding
TOP:g IntegratedgProcess:gNursinggProcess:gIntervent
iong KEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
2. Agnursegisgorientinggagnewgclientgandgfamilygtogthegmedical-
surgicalgunit.gWhatginformationg doesgthegnursegprovidegtogbestghelpgthegclientgpro
moteghisgorghergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencourag
inggtheg clientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgc
ritical.gThegotherg actionsgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprot
ectiongthatgbeinggactivegandg involvedgdoes.
DIF:g Understanding
TOP:gIntegratedgProcess:gTeaching/Learni
ngg KEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
rol
3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgblood
gpressureg wasg142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgact
iongwouldgthegnurseg takegfirst?
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
c. Notifygthegprimaryghealthgcaregprovider.
d. Repeatgthegbloodgpressureging15gminutes.
about:blank 1/601
,10/31/23,g5:28gA Testgbankg-gmedicalgsurgicalgnursingg10thgeditiongignataviciusgworkman-
M bte…
Btestbanks.com
about:blank 2/601
,10/31/23,g5:28gA Testgbankg-gmedicalgsurgicalgnursingg10thgeditiongignataviciusgworkman-
M bte…
ANS:g A
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeter
ioratingg beforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgma
nifestedgag significantgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressu
re,gmentalgstatus,g heartgrate,gtemperature,goxygengsaturation,gandglastg2ghours’gurinego
utputgaregparticularlyg significantgandgaregpartgofgthegModifiedgEarlygWarninggSystemg
guide.gDocumentationgisgvital,g butgthegnursegmustgdogmoregthangdocument.gThegprima
ryghealthgcaregprovidergwouldgbeg notified,gbutgthisgisgnotgmoregimportantgthangcalling
gthegRRT.gThegclient’sgbloodgpressureg wouldgbegreassessedgfrequently,gbutgthegpriorit
ygisggettinggthegrapidgcaregtogthegclient.
DIF:g Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentat
iong KEY:gRapidgResponsegTeamg(RRT),gClinicalgjudgment
MSC:g Clientg Needsg Category:g Physiologicalg Integrity:g Physiologicalg Adaptation
4. Agnursegwishesgtogprovidegclient-
centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
bestgdemonstratesgthisgconcept?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensure
ga
holisticgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegong healthgcar
e,gthisgnursegisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotg demonstrategthisgcompetence.gSimpl
ygtellinggthegclientgaboutgallgupcominggtestsgisgnotg providinggempoweringgeducation.g
Orientinggthegclientgandgfamilygtogthegroomgisgangimportantg safetygmeasure,gbutgnotgd
irectlygrelatedgtogdemonstratinggclient-centeredgcare.
DIF:g Understanding
TOP:gIntegratedgProcess:gCulturegandgSpiritualit
yg KEY:g Client-centeredgcare,gCulture
MSC:g ClientgNeedsgCategory:gPsychosocialgInteg
rity
5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiong
doesgtheg nursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectga
gainstgerrors?
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedic
ationsg aregcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,g
orgdischarge.g ThisgNationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerror
s.gThegclientgwouldg notghavegtogbegresponsiblegforgprovidersgwashinggtheirghands,gan
dgevengifgthegclientgdoesgso,
thisgisgtoognarrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegpro
vider’sg phonegnumbergnearbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdo
gnotgguaranteeg safety.
DIF:g Applying
TOP:g IntegratedgProcess:gTeaching/Learni
ngg KEY:gClientgsafety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongCont
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