Full TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius ISBN: 978-0323878265 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!/ ALL CHAPTERS 1-74 COVERED /NEW

,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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NursingIgnatavicius: Medical-Surgical Nursing, 11th Edition
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MULTIPLE CHOICE bn




1. A new nurse is working with a preceptor on a medical-surgical unit. The
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b n preceptor advises thenew nurse that which is the priority when working
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b n as a professional nurse?
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a. Attending to holistic client needs bn bn b n b n


b. Ensuring client safety b n b n


c. Not making medication errors
b n bn bn


d. Providing client-focused care bn b n




ANS: m bn


B actions are
All
bn appropriate for the professional nurse. However, ensuring
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client safety is thepriority. Health care errors have been widely reported
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for 25 years, many of which result inclient injury, death, and increased
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health care costs. There are several national and international organizations
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that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client’s safety. The other
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actions are important for quality nursing, but they are not as vital as providing
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safety. Not making medication errorsdoes provide safety, but is too narrow in
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scope to be the best answer.
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DIF: Understanding TOP: Integrated Process: Nursing b n bn bn


Process: Intervention KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment:
bn bn b n b n b n b n bn b n bn b n Safety and bn


Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical
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b n unit. What informationdoes the nurse provide to best help the client
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b n promote his or her own safety? b n b n b n b n bn


a. Encourage the client and family to be active partners.bn b n b n bn bn bn b n b n


b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: m bn


A
Each
bn action could be important for the client or family to perform.
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b n However, encouraging theclient to be active in his or her health care as
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b n a safety partner is the most critical. The other actions are very limited
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b n in scope and do not provide the broad protection that being active
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b n andinvolved does. b n




DIF: Understanding TOP: Integrated bn


Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment:
bn bn b n b n b n b n bn b n bn b n Safety and bn


Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The
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b n client’s blood pressure was 142/76 mm Hg 30 minutes ago, and now is
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b n 88/50 mm Hg. What action would the nursetake first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. b n b n b n b n


c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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, ANS: m bn


A
The
bn purpose b n of the Rapid Response Team (RRT) is to intervene when
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b n clients are deterioratingbefore they suffer either respiratory or cardiac arrest.
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b n Since the client has manifested a significant change, the nurse would call
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b n the RRT. Changes in blood pressure, mental status, heart rate, temperature,
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b n oxygen saturation, and last 2 hours’ urine output are particularly significant
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b n and are part of the Modified Early Warning System guide. Documentation
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b n is vital, but the nurse must do more than document. The primary health
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b n care provider would be notified, but this is not more important than
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bn calling the RRT. The client’s blood pressure would be reassessed
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b n frequently, but the priority is getting the rapid care to the client.
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DIF: Applying TOP: Integrated Process: Communication b n b n b n


and Documentation KEY: Rapid Response Team (RRT),
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Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in
b n bn b n b n b n b n bn b n all interactions. Which
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action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client’s basic needs are met.
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c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. bn b n bn b n b n bn b n b n




ANS: m bn


A
Showing
bn respect for the client and family’s preferences and needs is
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b n essential to ensure a holistic or “whole-person” approach to care. By
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b n assessing the effect of the client’s culture onhealth care, this nurse is
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b n practicing client-focused care. Providing for basic needs does not
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b n demonstrate this competence. Simply telling the client about all upcoming
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b n tests is not providing empowering education. Orienting the client and
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b n family to the room is an importantsafety measure, but not directly related
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b n to demonstrating client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and
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Spirituality KEY:
b n bn Client-centered care, CultureMSC: b n b n


Client Needs Category:
b n b n b n b n Psychosocial Integrity bn




5. A client is going
b n b n to be admitted for a scheduled surgical
b n b n b n b n b n b n b n b n b n procedure.
b n Which b n action does thenurse explain is the most important
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b n client b n can do to protect against errors?
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a. Bring a list of all medications and what they are for.
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b. Keep b n the provider’s phone number by the telephone.
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c. Make sure that all providers wash hands before entering
b n b n b n b n b n b n b n b n b n the room. b n


d. Write down the name of each caregiver who comes in
b n b n b n b n bn b n b n b n b n b n the room. b n




ANS: m bn


A
Medication
bn reconciliation is a formal process in which the client’s actual
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b n current medicationsare compared to the prescribed medications at the time
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b n of admission, transfer, or discharge. This National client Safety Goal is
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b n important to reduce medication errors. The client would not have to be
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b n responsible for providers washing their hands, and even if the client does
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b n so, this is too narrow to be the most important action to prevent errors.
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b n Keeping the provider’s phone number nearby and documenting everyone
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b n who enters the room also do not guarantee safety.
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DIF: Applying TOP: Integrated Process: b n bn


Teaching/Learning KEY: Client safety, Informatics bn b n b n b n

, MSC: bn Client Needs
bn b n b n Category: Safe and Effective Care Environment:
b n b n bn b n bn b n Safety and
bn


Infection Control
b n b n