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Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition |Complete Questions and Answers| REVISED EDITION| All Chapters And Rationales Included| Brand New |Graded A+|$15.49
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Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition |Complete Questions and Answers| REVISED EDITION| All Chapters And Rationales Included| Brand New |Graded A+|
Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition |Complete Questions and Answers| REVISED EDITION| All Chapters And Rationales Included| Brand New |Graded A+|
1. A new nurse is working with a preceptor on a medical-surgic...
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic patient needs
b. Ensuring patient safety
c. Not making medication errors
d. Providing patient-focused care
CORRECT: B
All actions are appropriate for the professional nurse. However, ensuring patient safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
patient injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the patient‘s safety. The other actions are important
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is orienting a new patient and family to the medical-surgical unit. What
informationdoes the nurse provide to best help the patient promote his or her own safety?
a. Encourage the patient and family to be active partners.
b. Have the patient monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the patient.
d. Tell the patient to always wear his or her armband.
CORRECT: A
Each action could be important for the patient or family to perform. However, encouraging
thepatient to be active in his or her health care as a safety partner is the most critical. The
other actions are very limited in scope and do not provide the broad protection that being
active andinvolved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse is caring for a postoperative patient on the surgical unit. The patient‘s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would
the nursetake first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
, d. Repeat the blood pressure in 15 minutes.
CORRECT: A
The purpose of the Rapid Response Team (RRT) is to intervene when patients are
deterioratingbefore they suffer either respiratory or cardiac arrest. Since the patient has
manifested a significant change, the nurse would call the RRT. Changes in blood pressure,
mental status,heart rate, temperature, oxygen saturation, and last 2 hours‘ urine output are
particularly significant and are part of the Modified Early Warning System guide.
Documentation is vital,but the nurse must do more than document. The primary health care
provider would be notified, but this is not more important than calling the RRT. The
patient‘s blood pressurewould be reassessed frequently, but the priority is getting the rapid care
to the
patient.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Patient Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse wishes to provide patient-centered care in all interactions. Which action by the nurse
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the patient‘s basic needs are met.
c. Tells the patient and family about all upcoming tests.
d. Thoroughly orients the patient and family to the room.
CORRECT: A
Showing respect for the patient and family‘s preferences and needs is essential to ensure a
holistic or ―whole-person‖ approach to care. By assessing the effect of the patient‘s culture
on health care, this nurse is practicing patient-focused care. Providing for basic needs does
not demonstrate this competence. Simply telling the patient about all upcoming tests is not
providing empowering education. Orienting the patient and family to the room is an
importantsafety measure, but not directly related to demonstrating patient-centered care.
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
KEY: Patient-centered care, Culture MSC: Patient Needs Category: Psychosocial
Integrity
5. A patient is going to be admitted for a scheduled surgical procedure. Which action does
thenurse explain is the most important thing the patient can do to protect against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider‘s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
CORRECT: A
Medication reconciliation is a formal process in which the patient‘s actual current medications
are compared to the prescribed medications at the time of admission, trCORRECTfer, or
discharge. This National patient Safety Goal is important to reduce medication errors. The
patient would not have to be responsible for providers washing their hands, and even if the
patient does so, this is too narrow to be the most important action to prevent errors. Keeping
the provider‘sphone number nearby and documenting everyone who enters the room also do
,
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