Test Bank
Medical-Surgical
Nursing: Concepts
for Interprofessional
Collaborative Care;
9
th
... [Show More] Edition.
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Table of Contents
Table of Contents
Chapter 01: Overview of Professional Nursing Concepts for Medical-SurgChapter 02: Overview of Health Concepts for Medical-Surgical Nursing
Chapter 03: Common HealthProblems of Older Adults
Chapter 04: Assessment and Care of Patients with Pain
Chapter 05: Genetic Concepts for Medical-Surgical Nursing
Chapter 06: RehabilitationConcepts for Chronic and Disabling HealthProbleChapter 07: End-of-Life Care
Chapter 08: Concepts of Emergency and Trauma Nursing
Chapter 09: Care of Patients with Common Environmental EmergenciesChapter 10: Concepts of Emergency and Disaster Preparedness
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances
Chapter 13: Infusion Therapy
Chapter 14: Care of Preoperative Patients
Chapter 15: Care of Intraoperative Patients
Chapter 16: Care of Postoperative Patients
Chapter 17: Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Other Connective TissueChapter 19: Care of Patients with HIV Disease
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and AutoimChapter 21: Cancer Development
Chapter 22: Care of Patients with Cancer
Chapter 23: Care of Patients with Infection
Chapter 24: Assessment of the Skin, Hair, and Nails
Chapter 25: Care of Patients with Skin Problems
Chapter 26: Care of Patients with Burns
Chapter 27: Assessment of the Respiratory System
Chapter 28: Care of Patients Requiring Oxygen Therapy or TracheChapter 29: Care of Patients with NoninfectiousUpper Respiratory Problems
Chapter 30: Care of Patients with NoninfectiousLower Respiratory Problems
Chapter 31: Care of Patients with Infectious Respiratory Problems
Chapter 32: Care of Critically Ill Patients with Respiratory Problems
Chapter 33: Assessment of the Cardiovascular System
Chapter 34: Care of Patients with Dysrhythmias
Chapter 35: Care of Patients with Cardiac Problems
Chapter 36: Care of Patients with Vascular Problems
Chapter 37: Care of Patients with Shock
Chapter 38: Care of Patients with Acute Coronary Syndromes
Chapter 39: Assessment of the Hematologic System
Chapter 40: Care of Patients with Hematologic Problems
Chapter 41: Assessment of the Nervous System
Chapter 42: Care of Patients with Problems of the CNS: The Brain
Chapter 43: Care of Patients with Problems of the CNS: The SpinalChapter 44: Care of Patients with Problems of the Peripheral NervoChapter 45: Care of Critically Ill Patients with Neurologic Problems
Chapter 46: Assessment of the Eye and Vision
Chapter 47: Care of Patients with Eye and Vision Problems
Chapter 48: Assessment and Care of Patients with Ear and Hearing Chapter 49: Assessment of the Musculoskeletal System
Chapter 50: Care of Patients with Musculoskeletal Problems
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Chapter 51: Care of Patients with Musculoskeletal Trauma
Chapter 52: Assessment of the Gastrointestinal System
Chapter 53: Care of Patients with Oral Cavity Problems
Chapter 54: Care of Patients with Esophageal Problems
Chapter 55: Care of Patients with Stomach Disorders
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders
Chapter 58: Care of Patients with Liver Problems
Chapter 59: Care of Patients with Problems of the Biliary System Chapter 60: Care of Patients with Malnutrition: Undernutrition and ObesitChapter 61: Assessment of the Endocrine System
Chapter 62: Care of Patients with Pituitary and Adrenal Gland ProbleChapter 63: Care of Patients with Problems of the Thyroid and Chapter 64: Care of Patients with Diabetes Mellitus
Chapter 65: Assessment of the Renal/Urinary System
Chapter 66: Care of Patients with Urinary Problems
Chapter 67: Care of Patients with Kidney Disorders
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Chapter 69: Assessment of the Reproductive System
Chapter 70: Care of Patients with Breast Disorders
Chapter 71: Care of Patients with Gynecologic Problems
Chapter 72: Care of Patients with Male Reproductive Problems
Chapter 73: Care of Transgender Patients
Chapter 74: Care of Patients with Sexually Transmitted Diseases
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Chapter 01: Overview of Professional Nursing Concepts for MediSurgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensuresthat 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 in client-focused care is demonstrated when the nurse focuses on commucompassion, client education, and empowerment. By assessing the effect of the this nurse is practicing client-focused care. Providing for basic needs does not Simply telling the client about all upcoming tests is not providing empowering and family to the room is an important safety measure, but not directlycare.
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 Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients suffer either respiratory or cardiac arrest. Since the client has manifested a significcall the RRT. Changes in blood pressure, mental status, heart rate, and pain Documentation is vital, but the nurse must do more than document. The primarynotified, but this is not the priority over calling the RRT. The clients blood frequently, but the priority is getting the rapid care to the client.
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. A nurse is orienting a new client and family to the inpatient 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 his or her armband.
ANS: A
Each action could be important for the client or family to perform. Howeveactive in his or her health care as a partner is the most critical. The do not provide the broad protection that being active and involved does.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
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MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infectio4. A new nurse is working with a preceptor on an inpatient student that which is the priority when working as a professional nurse?
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 for the professional nurse. However, ensuring client 98,000 deaths result each year from errors in hospital care, according to the 2000 Many more clients have sufferedinjuries and less serious outcomes. Every nurse has the guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: NursingProcess: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infectio5. A client is going to be admitted for a scheduled surgical proceduthe most important thing the client can do to protect against errors?
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 enteringthe 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 campaign encourages clients to help ensure their safety. One recommendation is 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 Infectio6. Which action by the nurse working with a client best demonstrates respect 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 is self-determination. The client should make decisions regarding care. signature on the consent form, assessing if the client still has questions information the client cannot practice autonomy. Giving accurate information is practiciKeeping promises is upholding fidelity. Treating the client fairly is providinDIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of 7. A student nurse asks the faculty to explain best practices when communicating lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
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d. No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health reluctant to seek health care. The nurse should never make assumptions about the population. Rather, respectful questions are appropriate. If approached with sensitivhealth care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
8. A nurse is calling the on-call physician about a client who had a is unrelieved by the prescribed narcoticpain medication. Which statement is communication?
a. A: I would like you to order a different pain medication.
b. B: This client has allergies to morphine and codeine.
c. R: Dr. Smith doesnt like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.
ANS: B
SBAR is a recommended form of communication, and the acronym stands for Assessment, and Recommendation. Appropriate background information includes allergieon-call physician might order. Situation describes what is happening right now clients surgery 2 days ago would be considered background. Assessment would include clients problem; asking for a different pain medication is a recommendationof what is needed or what outcome is desired; this information about the placed in background.
DIF: Applying/Application REF: 5
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of 9. A nurse working on a cardiac unit delegated taking vital signs to personnel (UAP). Four hours later, the nurse notes the clients blood pressure is readings, and the clients mental status has changed. What action by the nurse prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directindelegated tasks. The nurse should either have asked the UAP about the vital signs report them right away. An experienced UAP should know how to take vital signs have to assess this at this point. Double-checking the work defeats the purposewithin the scope of practice for a UAP and are permissible to delegate. nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of 10. A nurse is talking with a client who is moving to a new state there. What advice by the nurse is best?
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a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that is accredited by The Joint Commission.
d. Use a facility affiliated with a medical or nursing school.
ANS: C
Accreditation by The Joint Commission (TJC) or other accrediting body gives assuranfocus on safety. Nurse-client ratios differ by unit type and change over time. New necessarily mean the hospital is safe. Affiliation with a health professions school safety is most important.
DIF: Understanding/Comprehension REF: 2
KEY: The Joint Commission (TJC)| accreditation
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infectio11. A newly graduated nurse in the hospitalstates that, since she is so improvement (QI) projects. What response by the precepting nurse is best?
a. All staff nurses are required to participate in quality improvement here.
b. Even being new, you can implement activities designed to improve c. Its easy to identify what indicators should be used to measure quality.d. You should ask to be assigned to the research and quality commitANS: B
The preceptor should try to reassurethe nurse that implementing QI measures licensednurse. Simply stating that all nurses are required to participate does not that is possibleand is dismissive. Identifying indicators of quality is not be the best place to suggest a new nurse to start. Asking to be assignenurse information about how to implement QI in daily practice.
DIF: Applying/Application REF: 6
KEY: Quality improvement
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of MULTIPLE RESPONSE
1. A nurse is interested in making interdisciplinarywork a high priority.Which demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines
ANS: A, B, C, D
Collaborating with the interdisciplinaryteam involves planning, implementing, and evaluatiteam with all other disciplines included. Simply showing other caregivers the involving them or collaborating with them.
DIF: Applying/Application REF: 4
KEY: Collaboration| interdisciplinaryteam
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of 2. A nurse manager wishes to ensure that the nurses on the unit are competency. Which areas should the manager assess to determine if the nursingaccording to the Instituteof Medicine (IOM) report Health Professions Education: (Select all that apply.)
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a. Collaborating with an interdisciplinaryteam
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
ANS: A, B, D, E
The IOM report lists five broad core competencies that all health care providers collaborating with the interdisciplinaryteam, implementing evidence-based practice, providing care, using informatics in client care, and using quality improvement in client care.
DIF: Remembering/Knowledge REF: 3
KEY: Competencies| Instituteof Medicine (IOM)
MSC: Integrated Process: NursingProcess: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infectio3. The nurse utilizing evidence-based practice (EBP) considers which factors when planninthat apply.)
a. Cost-saving measures
b. Nurses expertise
c. Client preferences
d. Research findings
e. Values of the client
ANS: B, C, D, E
EBP consists of utilizing current evidence, the clients values and preferences, and planning care. It does not include cost-saving measures.
DIF: Remembering/Knowledge REF: 6
KEY: Evidence-based practice (EBP) [Show Less]