Test Bank Ignatavicius Medical Surgical 9th 2017 (Chapter 1-74 Complete Test Bank)
Chapter 01: Overview of Professional Nursing Concepts for Medical-
... [Show More] Surgical
Nursing
MULTIPLE CHOICE
1. Anursewishesto provide client-centered care inall interactions.Which action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency inclient-focused care is demonstrated when the nurse focuses on communication, culture, respect
compassion, client education, and empowerment. By assessing the effect ofthe clients culture on health care, this
nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
Simply telling the client about all upcoming testsis not providing empowering education. Orienting the client and
familytothe roomis animportantsafetymeasure,butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg
30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in15 minutes.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer
eitherrespiratory or cardiac arrest.Since the client hasmanifested a significant change,thenurse should call theRRT.
Changesinblood pressure, mentalstatus, heartrate, and pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. Anurse is orienting a newclient and family to the inpatient unit.What information doesthe nurse provide to help
the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear Dhoiswnolroahdeerdabrym: bscarnubdl.ife1985 | scrublife1985@gmail.com
ANS: A
Each action could be important for the client or family to perform. However, encouraging the client to be active in
his or her health care as a partner isthe most critical. The other actions are very limited inscope and do not provide the
broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY:
Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. Anewnurse isworkingwith apreceptor on an inpatientmedical-surgicalunit.The preceptor advisesthe
student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate forthe professional nurse.However, ensuring clientsafety isthe priority. Up to 98,000
deathsresulteach yearfromerrorsinhospital care, according to the 2000 Institute ofMedicine report. Many more
clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the clients
safety.
DIF: Understanding/Comprehension REF: 2 KEY:
Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. A client is going to be admitted for a scheduled surgical procedure. Which action doesthe nurse explain is the
most important thing the client can do to protect againsterrors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up campaign
encourages clientsto help ensure theirsafety. One recommendation isfor clientsto knowall their medications and why
they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
ANS: A
Autonomy isself-determination.The clientshouldmakedecisionsregarding care.Whenthe nurse obtains a signature
on the consent form, assessing if the client still has questions is vital, because without full information the client
cannot practice autonomy.Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care [Show Less]