BvoA B v R
Bvc BvP
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Bv| B v 6672187
TEST BANK FOR MEDICAL SURGICAL
BBv BBv BBv BBv BBv
BBv NURSING:CONCEPTS FOR CLINICAL BBv BBv
BBv JUDGEMENT AND BBv B B v COLLABORATIVE CARE 11TH BBv BBv
B B v
EDITION IGNATAVICIUS BBv BBv B B v
TEST BANK BBv
, lBvO BvM
BvoA B v R
B vc BvP
BvS BvD
Bv| B v 6672187
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
Bv Bv Bv Bv Bv Bv Bv Bv Bv Bv 2
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv MULTIPLE CHOICE BBv
1. A nurse wishes to provide client-centered care in all interactions.
BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv Which action by the nurse bestdemonstrates this concept?
BBv BBv BBv BBv BBv BBv BBv
a. Assesses for cultural influences affecting health care BB v BBv BBv BB v BBv BBv
b. Ensures that all the clients basic needs are met BBv BBv BBv BBv BB v B Bv BBv BBv
c. Tells the client and family about all upcoming tests
BBv BBv BBv BBv BB v BBv BBv BBv
d. Thoroughly orients the client and family to the room BBv BBv BBv BBv BBv BBv BBv BBv
ANS: A BBv
Competency in client-focused care is demonstrated when the nurse focuses on BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv communication, culture, respect compassion, client education, and empowerment. By BBv BBv BBv BBv BBv BBv BBv BBv
BBv assessing the effect of the clients culture on health care, this nurse is practicing
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv client- focused care. Providing for basic needs does not demonstrate this
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
competence. Simply telling the client about all upcoming tests is not providing
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv empowering education. BBv
Orienting the client and family to the room is an important safety measure, but not
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv directly related to demonstrating client-centered care.
BBv BBv BBv BBv BBv
DIF: Understanding/Comprehension REF: 3
BBv BBv BBv
KEY: Patient-centered care| culture MSC: Integrated
BBv BBv BBv BBv BBv
BBv Process: CaringNOT: Client Needs Category: BBv BBv BBv BBv
Psychosocial Integrity BBv
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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BBv pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
BBv B B v BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv action by the nurse is best?
BBv BBv BBv BBv BBv
a. Call the Rapid Response Team.
BBv BBv BBv BBv
b. Document and continue to monitor. B Bv BBv BB v BBv
c. Notify the primary care provider. BBv BB v BBv BBv
d. Repeat blood pressure measurement in 15 minutes.
BBv BB v BBv BBv BBv BBv
ANS: A BBv
The B B v purpose B B v of B B v the B B v Rapid B B v Response B B v Team B B v (RRT) B B v is B B v to B B v intervene
B B v when B B v clients B B v are deteriorating before they suffer either respiratory or cardiac
BBv BBv BBv BBv BBv BBv BBv BBv
BBv arrest. Since the client has manifested a significant change, the nurse should call the
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BvoA B v R
B vc BvP
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Bv| B v 6672187
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
Bv Bv Bv Bv Bv Bv Bv Bv Bv Bv 3
RRT. Changes in blood pressure,
BBv BBv BBv BBv BBv B B v mental B B v status, B B v heart B B v rate, B B v and B B v pain B B v are
B B v particularly B B v significant.
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BvoA B v R
B vc BvP
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Bv| B v 6672187
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
Bv Bv Bv Bv Bv Bv Bv Bv Bv Bv 4
Documentation is vital, but the nurse must do BBv BBv BBv BBv BBv BBv BBv B B v more B B v than document. The BBv BBv
BBv primary care provider should be notified, but this is not the priority over calling
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv the RRT. The clients
BBv BBv BBv B B v blood pressure should BBv BBv B B v be reassessed BBv B B v frequently, but BBv
BBv the B B v priority B B v is getting
BBv B B v the rapid care to the client.
BBv BBv BBv BBv BBv
DIF: Applying/Application REF: 3
BBv BBv BBv
KEY: Rapid Response Team (RRT)| medical
BBv BBv BBv BBv BBv
BBv emergencies MSC: Integrated Process: BBv BBv BBv
Communication and Documentation B B v BBv
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
BBv BBv BBv BBv BBv BBv BBv
3. A nurse is orienting a new client and family to the inpatient unit. What
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv information does the nurse provide BBv BBv BBv BBv B B v to help the client promote his or her own
BBv BBv BBv BBv BBv BBv BBv BBv
BBv safety?
a. Encourage the client and family to be active partners. BBv BBv BB v BBv BB v BBv BBv BBv
b. Have the client monitor hand hygiene in caregivers.
BBv BB v BBv BBv BBv B Bv BB v
c. Offer the family the opportunity to stay with the client.
BBv BBv BB v BBv BBv BB v BBv BBv B Bv
d. Tell the client to always wear his or her armband.
BBv BBv BB v BBv BBv BBv BBv BBv BB v
ANS: A BBv
Each B B v action B B v could B B v be B B v important B B v for B B v the B B v client B B v or B B v family B B v to
B B v perform. B B v However, encouraging the client to be active in his or her health care as
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv a partner is the most critical. The other actions are very limited in scope and do not
BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv BBv
BBv provide the broad protection BBv BBv BBv B B v that B B v being active BBv B B v and B B v involved B B v does.
DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
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