Ignatavicius Medical-Surgical Nursing 10th Edition Test Bank – Chapters 1-14 Questions & Answers

,Chapter 1: Introduction to Medical-
f f f f


Surgical Nursing Practice Ignatavicius: Medical-
f f f f



Surgical Nursing,10th Edition
f f




MULTIPLEf CHOICE

1. Afnewfnursefisfworkingfwithfafpreceptorfonfanfinpatientfmedical-
surgicalfunit.fThefpreceptorfadvisesfthefstudentfthatfwhichfisfthefpriorityfwhenfworkingfasf
afprofessionalfnurse?
a. Attending ftofholisticfclientfneeds
b. Ensuringfclientfsafety
c. Notfmakingfmedicationferrors
d. Providingf client-focusedf care
ANS:f B
Allfactionsfarefappropriatefforfthefprofessionalfnurse.fHowever,fensuringfclientfsafetyfisfthefpriori
ty.fUpftof98,000fdeathsfresultfeachfyearffromferrorsfinfhospitalfcare,faccordingftofthef2000fInstitut
efoffMedicinefreport.fManyfmorefclientsfhavefsufferedfinjuriesfandflessfseriousfoutcomes.fEveryfn
ursefhasfthefresponsibility ftofguardfthefclient’sfsafety.

DIF: Understanding/Comprehension REF: 2
KEY:f PatientfsafetyfMSC:fIntegratedfProcess:fNursingfProcess:fIntervention
NOT:f ClientfNeedsfCategory:fSafefandfEffectivefCarefEnvironment:fSafetyfandfInfectionfContro
l

2. Afnursefisforientingfafnewfclientfandffamilyftofthefinpatientfunit.fWhatfinformationfdoesfthefnurs
efprovideftofhelpfthefclientfpromotefhisforfherfownfsafety?
a. Encouragefthefclientfandffamilyftofbefactivefpartners.
b. Havefthefclientfmonitorfhandfhygienefinfcaregivers.
c. Offerftheffamilyfthefopportunityftofstayfwithfthefclient.
d. Tellfthefclientftofalwaysfwearfhisforfherfarmband.
ANS:f A
Eachfactionfcouldfbefimportantfforfthefclientforffamilyftofperform.fHowever,fencouragingfthefcli
entftofbefactivefinfhisforfherfhealthfcarefasfafpartnerfisfthefmostfcritical.fThefotherfactionsfarefver
yflimitedfinfscopefandfdofnotfprovidefthefbroadfprotectionfthatfbeingfactivefandfinvolvedfdoes.

DIF: Understanding/Comprehension REF: 3
KEY:f PatientfsafetyfMSC:f IntegratedfProcess:fTeaching/Learning
NOT:f ClientfNeedsfCategory:fSafefandfEffectivefCarefEnvironment: fSafetyfandfInfectionfContro
l

3. Afnursefisfcaringfforfafpostoperativefclientfonfthefsurgicalfunit.fThefclient’sfbloodfpressurefwasf
142/76fmmfHgf30fminutesfago,fandfnowfisf88/50fmmfHg.fWhatfactionfbyfthefnursefisfbest?
a. CallfthefRapidfResponsefTeam.
b. Documentfandfcontinueftofmonitor.
c. Notifyfthefprimaryfcarefprovider.
d. Repeatfbloodfpressurefmeasurementfinf15fminutes.

, ANS:f A
ThefpurposefoffthefRapidfResponsefTeamf(RRT)fisftofintervenefwhenfclientsfarefdeterioratingf
beforeftheyfsufferfeitherfrespiratoryforfcardiacfarrest.fSincefthefclientfhasfmanifestedfafsignifica
ntfchange,fthefnursefshouldfcallfthefRRT.fChangesfinfbloodfpressure,fmentalfstatus,fheartfrate,fa
ndfpainfarefparticularlyfsignificant.fDocumentationfisfvital,fbutfthefnursefmustfdofmorefthanfdoc
ument.fThefprimaryfcarefproviderfshouldfbefnotified,fbutfthisfisfnotfthefpriorityfoverfcallingfthef
RRT.fThefclient’sfbloodfpressurefshouldfbefreassessedffrequently,fbutfthefpriorityfisfgettingfthe
frapid fcare fto fthefclient.




DIF: Applying/Application REF:
3fKEY:f RapidfResponsefTeamf(RRT)|fmedicalfemer
gencies
MSC:f Integratedf Process:f Communicationf andf Documentation
NOT:f Clientf Needsf Category:f Physiologicalf Integrity:f Physiologicalf Adaptation

4. Afnursefwishesftofprovidefclient-
centeredfcarefinfallfinteractions.fWhichfactionfbyfthefnursefbestfdemonstratesfthisfconcept?
a. Assessesf forf culturalf influencesf affectingf healthf care
b. Ensuresfthatfallfthefclients’fbasicfneedsfarefmet
c. Tellsfthefclientfandffamilyfaboutfallfupcomingftests
d. Thoroughlyforientsfthefclientfandffamilyftofthefroom
ANS:f A
Competencyfinfclient-
focusedfcarefisfdemonstratedfwhenfthefnurseffocusesfonfcommunication,fculture,frespect,fcom
passion,fclientfeducation,fandfempowerment.fByfassessingfthefeffectfoffthefclient’sfculturefonfh
ealthfcare,fthisfnursefisfpracticing
client-
focusedfcare.fProvidingfforfbasicfneedsfdoesfnotfdemonstratefthisfcompetence.fSimplyftellingft
hefclientfaboutfallfupcomingftestsfisfnotfprovidingfempoweringfeducation.fOrientingfthefclientfa
ndffamilyftofthefroomfisfanfimportantfsafetyfmeasure,fbutfnotfdirectlyfrelatedftofdemonstratingfc
lient-centeredfcare.

DIF: Understanding/Comprehension REF: 3
KEY:f Patient-centeredfcare|fculture
MSC:fIntegratedfProcess:fCaringf
NOT:f ClientfNeedsfCategory:fPsychosocialfIntegrity

5. Afclientfisfgoingftofbefadmittedfforfafscheduledfsurgicalfprocedure.fWhichfactionfdoesfthefnur
sefexplainfisfthefmostfimportantfthingfthefclientfcanfdoftofprotectfagainstferrors?
a. Bringfaflistfoffallfmedicationsfandfwhatftheyfareffor.
b. Keepfthefdoctor’sfphonefnumberfbyftheftelephone.
c. Makefsurefallfprovidersfwashfhandsfbeforefenteringfthefroom.
d. Writefdownfthefnamefoffeachfcaregiverfwhofcomesfinfthefroom.
ANS:f A
Medicationferrorsfarefthefmostfcommonftypefoffhealthfcarefmistake.fThefJointfCommission’sf
SpeakfUpfcampaignfencouragesfclientsftofhelpfensureftheirfsafety.fOnefrecommendationfisfforf
clientsftofknowfallftheirfmedicationsfandfwhyftheyftakefthem.fThisfwillfhelpfpreventfmedicationf
errors.

DIF: Applying/Application REF: 4
KEY:f SpeakfUpfcampaign|fpatientfsafety MSC:fIntegratedfProcess:fTeaching/Learning

, NOT:f ClientfNeedsfCategory:fSafefandfEffectivefCarefEnvironment: fSafetyfandfInfectionfContro
l

6. Whichfactionfbyfthefnursefworkingfwithfafclientfbestfdemonstratesfrespectfforfautonomy?
a. Asksfiffthefclientfhasfquestionsfbeforefsigningfafconsent
b. Givesf thef clientf accuratef informationf whenf questioned
c. Keepsfthefpromisesfmadeftofthefclientfandffamily
d. Treatsfthefclientffairlyfcomparedftofotherfclients
ANS:f A
Autonomyfisfself-
determination.fThefclientfshouldfmakefdecisionsfregardingfcare.fWhenfthefnursefobtainsfafsigna
turefonfthefconsentfform,fassessingfiffthefclientfstillfhasfquestionsfisfvital,fbecausefwithoutffullfi
nformationfthefclientfcannotfpracticefautonomy.fGivingfaccuratefinformationfisfpracticingfwithf
veracity.fKeepingfpromisesfisfupholding ffidelity.fTreatingfthefclientffairlyfisfprovidingfsocialfju
stice.

DIF: Applying/Application REF: 4
KEY:f Autonomy|fethicalfprinciples MSC:f IntegratedfProcess:fCaring
NOT:f ClientfNeedsfCategory:fSafefandfEffectivefCarefEnvironment: fManagementfoffCare

7. Afstudentfnursefasksftheffacultyftofexplainfbestfpracticesfwhenfcommunicatingfwithfafper
sonffromftheflesbian,fgay,fbisexual,ftransgender,fandfqueer/questioning f(LGBTQ)fcom
munity.fWhatfanswerfbyftheffacultyfisfmostfaccurate?
a. Avoidfembarrassingfthefclientfbyfaskingfquestions.
b. Don’tfmakefassumptionsfaboutftheirfhealthfneeds.
c. MostfLGBTQfpeoplefdofnotfwantftofsharefinformation.
d. Nofdifferencesfexistfinfcommunicating fwithfthisfpopulation.
ANS:f B
ManyfmembersfoffthefLGBTQfcommunityfhaveffacedfdiscriminationffromfhealthfcarefprovide
rsfandfmayfbefreluctantftofseekfhealthfcare.fThefnursefshouldfneverfmakefassumptionsfaboutfthef
needsfoffmembersfoffthisfpopulation.fRather,frespectfulfquestionsfarefappropriate.fIffapproache
dfwithfsensitivity,fthefclientfwithfanyfhealthfcarefneedfisfmoreflikelyftofanswerfhonestly.

DIF: Understanding/Comprehension REF: 4
KEY:f LGBTQ|fdiversityfMSC:f IntegratedfProcess:fTeaching/Learning
NOT:f ClientfNeedsfCategory:fPsychosocialfIntegrity

8. Afnursefisfcallingfthefon-
callfphysician faboutfafclientfwhofhadfafhysterectomyf2fdaysfagofandfhasfpainfthatfisfunrelievedf
byfthefprescribedfnarcoticfpainfmedication.fWhichfstatementfisfpartfoffthefSBARfformatfforfco
mmunication?
a. A:f“Ifwouldflikefyouftoforderfafdifferentfpainfmedication.”
b. B:f“Thisfclientfhasfallergiesftofmorphinefandfcodeine.”
c. R:f“Dr.fSmithfdoesn’tflikefnonsteroidal fanti-inflammatory fmeds.”
d. S:f“Thisfclientfhadfafvaginalfhysterectomyf2fdaysfago.”fA
NS:f B