TEST BANK For Medical-Surgical Nursing
k k k k k
10th Edition Concepts for Interprofessional Collabor
k k k k k
ative Care, by Donna D. Ignatavicius,
k k k k k k
All chapters 1 – 69
k k k k
,Chapterk01:kOverviewkofkProfessionalkNursingkConceptskforkMedical-
SurgicalkNursingkIgnatavicius:kMedical-SurgicalkNursing,k10thkEdition
MULTIPLEkCHOICE
1. Aknewknursekiskworkingkwithkakpreceptorkonkakmedical-
surgicalkunit.kThekpreceptorkadvisesktheknewknursekthatkwhichkiskthekprioritykwhenkworkin
gkaskakprofessionalknurse?
a. Attendingktokholistickclientkneeds
b. Ensuringkclientksafety
c. Notkmakingkmedicationkerrors
d. Providingkclient-focusedkcare
CORRECTkANSWER:k B
Allkactionskarekappropriatekforkthekprofessionalknurse.kHowever,kensuringkclientksafetykiskth
ekpriority.kHealthkcarekerrorskhavekbeenkwidelykreportedkfork25kyears,kmanykofkwhichkresult
kinkclientkinjury,kdeath,kandkincreasedkhealthkcarekcosts.kTherekarekseveralknationalkandkint
ernationalkorganizationskthatkhavekeitherkrecommendedkorkmandatedksafetykinitiatives.
Everyknursekhaskthekresponsibilityktokguardkthekclient’sksafety.kThekotherkactionskarekimpor
tantkforkqualityknursing,kbutktheykareknotkaskvitalkaskprovidingksafety.kNotkmakingkmedicatio
nkerrorskdoeskprovideksafety,kbutkisktooknarrowkinkscopektokbekthekbestkanswer.
DIF: Understanding
TOP:k IntegratedkProcess:kNursingkProcess:kInterventionkKEY:kClientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
2. Aknursekiskorientingkaknewkclientkandkfamilyktokthekmedical-
surgicalkunit.kWhatkinformationkdoesktheknursekprovidektokbestkhelpkthekclientkpromote
khiskorkherkownksafety?
a. Encouragekthekclientkandkfamilyktokbekactivekpartners.
b. Havekthekclientkmonitorkhandkhygienekinkcaregivers.
c. Offerkthekfamilykthekopportunityktokstaykwithkthekclient.
d. Tellkthekclientktokalwayskwearkhiskorkherkarmband.
CORRECTkANSWER:k A
, Eachkactionkcouldkbekimportantkforkthekclientkorkfamilyktokperform.kHowever,kencouragingk
thekclientktokbekactivekinkhiskorkherkhealthkcarekaskaksafetykpartnerkiskthekmostkcritical.kThek
otherkactionskarekveryklimitedkinkscopekandkdoknotkprovidekthekbroadkprotectionkthatkbeing
kactivekandkinvolvedkdoes.
DIF: Understanding
TOP:kIntegratedkProcess:kTeaching/LearningkKEY:kClientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
3. Aknursekiskcaringkforkakpostoperativekclientkonktheksurgicalkunit.kThekclient’skbloodkpressu
rekwask142/76kmmkHgk30kminuteskago,kandknowkisk88/50kmmkHg.kWhatkactionkwouldkth
eknursektakekfirst?
a. CallkthekRapidkResponsekTeam.
b. Documentkandkcontinuektokmonitor.
c. Notifykthekprimarykhealthkcarekprovider.
d. Repeatkthekbloodkpressurekink15kminutes.
, CORRECTkANSWER:k A
ThekpurposekofkthekRapidkResponsekTeamk(RRT)kisktokintervenekwhenkclientskarekdeteriorati
ngkbeforektheyksufferkeitherkrespiratorykorkcardiackarrest.kSincekthekclientkhaskmanifestedka
ksignificantkchange,ktheknursekwouldkcallkthekRRT.kChangeskinkbloodkpressure,kmentalkstatu
s,kheartkrate,ktemperature,koxygenksaturation,kandklastk2khours’kurinekoutputkarekparticular
lyksignificantkandkarekpartkofkthekModifiedkEarlykWarningkSystemkguide.kDocumentationkiskv
ital,kbutktheknursekmustkdokmorekthankdocument.kThekprimarykhealthkcarekproviderkwouldk
beknotified,kbutkthiskisknotkmorekimportantkthankcallingkthekRRT.kThekclient’skbloodkpressur
ekwouldkbekreassessedkfrequently,kbutkthekprioritykiskgettingkthekrapidkcarektokthekclient.
DIF: Applying
TOP:k IntegratedkProcess:kCommunicationkandkDocumentationkKEY:kRapidk
ResponsekTeamk(RRT),kClinicalkjudgment
MSC:k ClientkNeedskCategory:kPhysiologicalkIntegrity:kPhysiologicalkAdaptation
4. Aknursekwishesktokprovidekclient-centeredkcarekinkallkinteractions.kWhichkactionkbyktheknurse
bestkdemonstrateskthiskconcept?
a. Assesseskforkculturalkinfluenceskaffectingkhealthkcare.
b. Ensureskthatkallkthekclient’skbasickneedskarekmet.
c. Tellskthekclientkandkfamilykaboutkallkupcomingktests.
d. Thoroughlykorientskthekclientkandkfamilyktokthekroom.
CORRECTkANSWER:k A
Showingkrespectkforkthekclientkandkfamily’skpreferenceskandkneedskiskessentialktokensurekak
holistickork“whole-
person”kapproachktokcare.kBykassessingkthekeffectkofkthekclient’skculturekonkhealthkcare,kthi
sknursekiskpracticingkclient-
focusedkcare.kProvidingkforkbasickneedskdoesknotkdemonstratekthiskcompetence.kSimplyktell
ingkthekclientkaboutkallkupcomingktestskisknotkprovidingkempoweringkeducation.kOrientingkt
hekclientkandkfamilyktokthekroomkiskankimportantksafetykmeasure,kbutknotkdirectlykrelatedkt
okdemonstratingkclient-centeredkcare.
DIF: Understanding
TOP:kIntegratedkProcess:kCulturekandkSpiritualitykKEY:k Client-centeredkcare,kCulture
MSC:k ClientkNeedskCategory:kPsychosocialkIntegrity
5. Akclientkiskgoingktokbekadmittedkforkakscheduledksurgicalkprocedure.kWhichkactionkdoes
ktheknursekexplainkiskthekmostkimportantkthingkthekclientkcankdoktokprotectkagainstkerr
ors?
k k k k k
10th Edition Concepts for Interprofessional Collabor
k k k k k
ative Care, by Donna D. Ignatavicius,
k k k k k k
All chapters 1 – 69
k k k k
,Chapterk01:kOverviewkofkProfessionalkNursingkConceptskforkMedical-
SurgicalkNursingkIgnatavicius:kMedical-SurgicalkNursing,k10thkEdition
MULTIPLEkCHOICE
1. Aknewknursekiskworkingkwithkakpreceptorkonkakmedical-
surgicalkunit.kThekpreceptorkadvisesktheknewknursekthatkwhichkiskthekprioritykwhenkworkin
gkaskakprofessionalknurse?
a. Attendingktokholistickclientkneeds
b. Ensuringkclientksafety
c. Notkmakingkmedicationkerrors
d. Providingkclient-focusedkcare
CORRECTkANSWER:k B
Allkactionskarekappropriatekforkthekprofessionalknurse.kHowever,kensuringkclientksafetykiskth
ekpriority.kHealthkcarekerrorskhavekbeenkwidelykreportedkfork25kyears,kmanykofkwhichkresult
kinkclientkinjury,kdeath,kandkincreasedkhealthkcarekcosts.kTherekarekseveralknationalkandkint
ernationalkorganizationskthatkhavekeitherkrecommendedkorkmandatedksafetykinitiatives.
Everyknursekhaskthekresponsibilityktokguardkthekclient’sksafety.kThekotherkactionskarekimpor
tantkforkqualityknursing,kbutktheykareknotkaskvitalkaskprovidingksafety.kNotkmakingkmedicatio
nkerrorskdoeskprovideksafety,kbutkisktooknarrowkinkscopektokbekthekbestkanswer.
DIF: Understanding
TOP:k IntegratedkProcess:kNursingkProcess:kInterventionkKEY:kClientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
2. Aknursekiskorientingkaknewkclientkandkfamilyktokthekmedical-
surgicalkunit.kWhatkinformationkdoesktheknursekprovidektokbestkhelpkthekclientkpromote
khiskorkherkownksafety?
a. Encouragekthekclientkandkfamilyktokbekactivekpartners.
b. Havekthekclientkmonitorkhandkhygienekinkcaregivers.
c. Offerkthekfamilykthekopportunityktokstaykwithkthekclient.
d. Tellkthekclientktokalwayskwearkhiskorkherkarmband.
CORRECTkANSWER:k A
, Eachkactionkcouldkbekimportantkforkthekclientkorkfamilyktokperform.kHowever,kencouragingk
thekclientktokbekactivekinkhiskorkherkhealthkcarekaskaksafetykpartnerkiskthekmostkcritical.kThek
otherkactionskarekveryklimitedkinkscopekandkdoknotkprovidekthekbroadkprotectionkthatkbeing
kactivekandkinvolvedkdoes.
DIF: Understanding
TOP:kIntegratedkProcess:kTeaching/LearningkKEY:kClientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
3. Aknursekiskcaringkforkakpostoperativekclientkonktheksurgicalkunit.kThekclient’skbloodkpressu
rekwask142/76kmmkHgk30kminuteskago,kandknowkisk88/50kmmkHg.kWhatkactionkwouldkth
eknursektakekfirst?
a. CallkthekRapidkResponsekTeam.
b. Documentkandkcontinuektokmonitor.
c. Notifykthekprimarykhealthkcarekprovider.
d. Repeatkthekbloodkpressurekink15kminutes.
, CORRECTkANSWER:k A
ThekpurposekofkthekRapidkResponsekTeamk(RRT)kisktokintervenekwhenkclientskarekdeteriorati
ngkbeforektheyksufferkeitherkrespiratorykorkcardiackarrest.kSincekthekclientkhaskmanifestedka
ksignificantkchange,ktheknursekwouldkcallkthekRRT.kChangeskinkbloodkpressure,kmentalkstatu
s,kheartkrate,ktemperature,koxygenksaturation,kandklastk2khours’kurinekoutputkarekparticular
lyksignificantkandkarekpartkofkthekModifiedkEarlykWarningkSystemkguide.kDocumentationkiskv
ital,kbutktheknursekmustkdokmorekthankdocument.kThekprimarykhealthkcarekproviderkwouldk
beknotified,kbutkthiskisknotkmorekimportantkthankcallingkthekRRT.kThekclient’skbloodkpressur
ekwouldkbekreassessedkfrequently,kbutkthekprioritykiskgettingkthekrapidkcarektokthekclient.
DIF: Applying
TOP:k IntegratedkProcess:kCommunicationkandkDocumentationkKEY:kRapidk
ResponsekTeamk(RRT),kClinicalkjudgment
MSC:k ClientkNeedskCategory:kPhysiologicalkIntegrity:kPhysiologicalkAdaptation
4. Aknursekwishesktokprovidekclient-centeredkcarekinkallkinteractions.kWhichkactionkbyktheknurse
bestkdemonstrateskthiskconcept?
a. Assesseskforkculturalkinfluenceskaffectingkhealthkcare.
b. Ensureskthatkallkthekclient’skbasickneedskarekmet.
c. Tellskthekclientkandkfamilykaboutkallkupcomingktests.
d. Thoroughlykorientskthekclientkandkfamilyktokthekroom.
CORRECTkANSWER:k A
Showingkrespectkforkthekclientkandkfamily’skpreferenceskandkneedskiskessentialktokensurekak
holistickork“whole-
person”kapproachktokcare.kBykassessingkthekeffectkofkthekclient’skculturekonkhealthkcare,kthi
sknursekiskpracticingkclient-
focusedkcare.kProvidingkforkbasickneedskdoesknotkdemonstratekthiskcompetence.kSimplyktell
ingkthekclientkaboutkallkupcomingktestskisknotkprovidingkempoweringkeducation.kOrientingkt
hekclientkandkfamilyktokthekroomkiskankimportantksafetykmeasure,kbutknotkdirectlykrelatedkt
okdemonstratingkclient-centeredkcare.
DIF: Understanding
TOP:kIntegratedkProcess:kCulturekandkSpiritualitykKEY:k Client-centeredkcare,kCulture
MSC:k ClientkNeedskCategory:kPsychosocialkIntegrity
5. Akclientkiskgoingktokbekadmittedkforkakscheduledksurgicalkprocedure.kWhichkactionkdoes
ktheknursekexplainkiskthekmostkimportantkthingkthekclientkcankdoktokprotectkagainstkerr
ors?
