TEST BANK For Medical Surgical Nursing 10th Edition by Ignatavicius, Workman, Rebar & Heimgartner, Verified Chapters 1 - 69, Complete Newest Version,,,Alpha

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
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Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE ssCHOICE


1. A ssnew ssnurse ssis ssworking sswith ssa sspreceptor sson ssa ssmedical-surgical ssunit. ssThe sspreceptor
ss advises ssthe ssnew ssnurse ssthat sswhich ssis ssthe sspriority sswhen ssworking ssas ssa ssprofessional
ss nurse?
a. Attending ssto ssholistic ssclient ssneeds
b. Ensuring ssclient sssafety

c. Not ssmaking ssmedication sserrors
d. Providing ssclient-focused sscare

CORRECT ssANSWER: s s B
All ssactions ssare ssappropriate ssfor ssthe ssprofessional ssnurse. ssHowever, ssensuring ssclient sssafety
is ssthe sspriority. ssHealth sscare sserrors sshave ssbeen sswidely ssreported ssfor ss25 ssyears, ssmany ssof
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ss which ssresult ssin ssclient ssinjury, ssdeath, ssand ssincreased sshealth sscare sscosts. ssThere ssare
ss several ssnational ssand ssinternational ssorganizations ssthat sshave sseither ssrecommended ssor
ss mandated sssafety ssinitiatives.
Every ssnurse sshas ssthe ssresponsibility ssto ssguard ssthe ssclient’s sssafety. ssThe ssother ssactions ssare
ss important ssfor ssquality ssnursing, ssbut ssthey ssare ssnot ssas ssvital ssas ssproviding sssafety. ssNot
ss making ssmedication sserrors ssdoes ssprovide sssafety, ssbut ssis sstoo ssnarrow ssin ssscope ssto ssbe
ss the ssbest ssanswer.

DIF: Understanding TOP: ss Integrated ssProcess: ssNursing ssProcess:
Intervention ssKEY: ssClient sssafety
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MSC: ss Client ssNeeds ssCategory: ssSafe ssand ssEffective ssCare ssEnvironment: ssSafety ssand ssInfection
Control
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2. A ssnurse ssis ssorienting ssa ssnew ssclient ssand ssfamily ssto ssthe ssmedical-surgical ssunit. ssWhat
ss information ssdoes ssthe ssnurse ssprovide ssto ssbest sshelp ssthe ssclient sspromote sshis ssor ssher
ss own sssafety?
a. Encourage ssthe ssclient ssand ssfamily ssto ssbe ssactive sspartners.

b. Have ssthe ssclient ssmonitor sshand sshygiene ssin sscaregivers.

, c. Offer ssthe ssfamily ssthe ssopportunity ssto ssstay sswith ssthe ssclient.
d. Tell ssthe ssclient ssto ssalways sswear sshis ssor ssher ssarmband.

CORRECT ssANSWER: s s A
Each ssaction sscould ssbe ssimportant ssfor ssthe ssclient ssor ssfamily ssto ssperform. ssHowever,
ss encouraging ssthe ssclient ssto ssbe ssactive ssin sshis ssor ssher sshealth sscare ssas ssa sssafety sspartner ssis
ss the ssmost sscritical. ssThe ssother ssactions ssare ssvery sslimited ssin ssscope ssand ssdo ssnot ssprovide
the ssbroad ssprotection ssthat ssbeing ssactive ssand ssinvolved ssdoes.
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DIF: Understanding TOP: ssIntegrated ssProcess:
Teaching/Learning ssKEY: ssClient sssafety
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MSC: ss Client ssNeeds ssCategory: ssSafe ssand ssEffective ssCare ssEnvironment: ssSafety ssand ssInfection
Control
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3. A ssnurse ssis sscaring ssfor ssa sspostoperative ssclient sson ssthe sssurgical ssunit. ssThe ssclient’s ssblood
ss pressure sswas ss142/76 ssmm ssHg ss30 ssminutes ssago, ssand ssnow ssis ss88/50 ssmm ssHg. ssWhat
ss action sswould ssthe ssnurse sstake ssfirst?
a. Call ssthe ssRapid ssResponse ssTeam.

b. Document ssand sscontinue ssto ssmonitor.
c. Notify ssthe ssprimary sshealth sscare ssprovider.
d. Repeat ssthe ssblood sspressure ssin ss15 ssminutes.

, CORRECT ssANSWER: s s A
The sspurpose ssof ssthe ssRapid ssResponse ssTeam ss(RRT) ssis ssto ssintervene sswhen ssclients ssare
deteriorating ssbefore ssthey sssuffer sseither ssrespiratory ssor sscardiac ssarrest. ssSince ssthe ssclient
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ss has ssmanifested ssa sssignificant sschange, ssthe ssnurse sswould sscall ssthe ssRRT. ssChanges ssin
ss blood sspressure, ssmental ssstatus, ssheart ssrate, sstemperature, ssoxygen sssaturation, ssand sslast
ss 2 sshours’ ssurine ssoutput ssare ssparticularly sssignificant ssand ssare sspart ssof ssthe ssModified ssEarly
Warning ssSystem ssguide. ssDocumentation ssis ssvital, ssbut ssthe ssnurse ssmust ssdo ssmore ssthan
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ss document. ssThe ssprimary sshealth sscare ssprovider sswould ssbe ssnotified, ssbut ssthis ssis ssnot
ss more ssimportant ssthan sscalling ssthe ssRRT. ssThe ssclient’s ssblood sspressure sswould ssbe
ss reassessed ssfrequently, ssbut ssthe sspriority ssis ssgetting ssthe ssrapid sscare ssto ssthe ssclient.

DIF: Applying TOP: ss Integrated ssProcess: ssCommunication ssand
Documentation ssKEY: ssRapid ssResponse ssTeam ss(RRT), ssClinical ssjudgment
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MSC: ss Client ssNeeds ssCategory: ssPhysiological ssIntegrity: ssPhysiological ssAdaptation


4. A ssnurse sswishes ssto ssprovide ssclient-centered sscare ssin ssall ssinteractions. ssWhich ssaction ssby ssthe
ss nurse
best ssdemonstrates ssthis ssconcept?
a. Assesses ssfor sscultural ssinfluences ssaffecting sshealth sscare.
b. Ensures ssthat ssall ssthe ssclient’s ssbasic ssneeds ssare ssmet.
c. Tells ssthe ssclient ssand ssfamily ssabout ssall ssupcoming sstests.
d. Thoroughly ssorients ssthe ssclient ssand ssfamily ssto ssthe ssroom.

CORRECT ssANSWER: s s A
Showing ssrespect ssfor ssthe ssclient ssand ssfamily’s sspreferences ssand ssneeds ssis ssessential ssto
ss ensure ssa ssholistic ssor ss“whole-person” ssapproach ssto sscare. ssBy ssassessing ssthe sseffect ssof ssthe
ss client’s ssculture sson sshealth sscare, ssthis ssnurse ssis sspracticing ssclient-focused sscare. ssProviding
ss for ssbasic ssneeds ssdoes ssnot ssdemonstrate ssthis sscompetence. ssSimply sstelling ssthe ssclient
ss about ssall ssupcoming sstests ssis ssnot ssproviding ssempowering sseducation. ssOrienting ssthe ssclient
ss and ssfamily ssto ssthe ssroom ssis ssan ssimportant sssafety ssmeasure, ssbut ssnot ssdirectly ssrelated ssto
ss demonstrating ssclient-centered sscare.

DIF: Understanding TOP: ssIntegrated ssProcess: ssCulture ssand ssSpirituality
ss KEY: ss Client-centered sscare, ssCulture MSC: ss Client ssNeeds ssCategory: ssPsychosocial
Integrity
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5. A ssclient ssis ssgoing ssto ssbe ssadmitted ssfor ssa ssscheduled sssurgical ssprocedure. ssWhich ssaction
ss does ssthe ssnurse ssexplain ssis ssthe ssmost ssimportant ssthing ssthe ssclient sscan ssdo ssto
ss protect ssagainst sserrors?