{"id":113651,"date":"2023-08-16T02:59:58","date_gmt":"2023-08-16T02:59:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113651"},"modified":"2023-08-16T03:00:00","modified_gmt":"2023-08-16T03:00:00","slug":"medical-surgical-nursing-10th-edition-ignatavicius-workman-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/medical-surgical-nursing-10th-edition-ignatavicius-workman-test-bank\/","title":{"rendered":"MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN TEST BANK"},"content":{"rendered":"\n

MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  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 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 safety is the
    priority. Health care errors have been widely reported for 25 years, many of which result in
    client 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 client9s 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: Client safety
    MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n\n\n\n
  2. A nurse is orienting a new client and family to the medical-surgical unit. What information
    does the nurse provide to best 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. However, encouraging the
    client 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 and
    involved does.
    DIF: Understanding TOP: Integrated Process: Teaching\/Learning
    KEY: Client safety
    MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n\n\n\n
  3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood pressure
    was 142\/76 mm Hg 30 minutes ago, and now is 88\/50 mm Hg. What action would the nurse
    2 \/ 4
    lOMoAR cPSD|27582573
    take 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.
    3 \/ 4
    lOMoAR cPSD|27582573
    ANS: A
    The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
    before they suffer either respiratory or cardiac arrest. Since the client 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 hours9 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 client9s blood pressure
    would be reassessed frequently, but the priority is getting the rapid care to the client.
    DIF: Applying TOP: Integrated Process: Communication and Documentation
    KEY: Rapid Response Team (RRT), Clinical judgment
    MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation<\/li>\n\n\n\n
  4. A nurse wishes to provide client-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 client9s 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
    Showing respect for the client and family9s preferences and needs is essential to ensure a
    holistic or <whole-person= approach to care. By assessing the effect of the client9s 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 tests is not
    providing empowering education. Orienting the client and family to the room is an important
    safety measure, but not directly related to demonstrating client-centered care.
    DIF: Understanding TOP: Integrated Process: Culture and Spirituality
    KEY: Client-centered care, Culture MSC: Client Needs Category: Psychosocial Integrity<\/li>\n\n\n\n
  5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
    nurse explain is the 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 provider9s 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.
    ANS: A
    Medication reconciliation is a formal process in which the client9s actual current medications
    are compared to the prescribed medications at the time of admission, transfer, or discharge.
    This National client Safety Goal is important to reduce medication errors. The client would
    not have to be responsible for providers washing their hands, and even if the client does so,
    this is too narrow to be the most important action to prevent errors. Keeping the provider9s
    phone number nearby and documenting everyone who enters the room also do not guarantee
    safety.
    DIF: Applying TOP: Integrated Process: Teaching\/Learning
    KEY: Client safety, Informatics
    MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    MULTIPLE CHOICE<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113651","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113651"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113651\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}