{"id":119271,"date":"2023-09-08T22:48:04","date_gmt":"2023-09-08T22:48:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119271"},"modified":"2023-09-08T22:48:05","modified_gmt":"2023-09-08T22:48:05","slug":"test-bank-medical-surgical-nursing-concepts-for-interprofessional-collaborative-care-10th-edition-chapter-1-69-complete-guide","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/08\/test-bank-medical-surgical-nursing-concepts-for-interprofessional-collaborative-care-10th-edition-chapter-1-69-complete-guide\/","title":{"rendered":"Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition Chapter 1-69 | Complete Guide"},"content":{"rendered":"\n<p>Btestbanks.com<br>Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 1<br>Medical Surgical Nursing 10th Edition<br>Ignatavicius Workman Test Bank<br>Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing<br>Ignatavicius: Medical-Surgical Nursing, 10th Edition<br>MULTIPLE CHOICE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the<br>new nurse that which is the priority when working as a professional nurse?<br>a. Attending to holistic client needs<br>b. Ensuring client safety<br>c. Not making medication errors<br>d. Providing client-focused care<br>ANS: B<br>All actions are appropriate for the professional nurse. However, ensuring client safety is the<br>priority. Health care errors have been widely reported for 25 years, many of which result in<br>client injury, death, and increased health care costs. There are several national and<br>international organizations that have either recommended or mandated safety initiatives.<br>Every nurse has the responsibility to guard the client\u2019s safety. The other actions are important<br>for quality nursing, but they are not as vital as providing safety. Not making medication errors<br>does provide safety, but is too narrow in scope to be the best answer.<br>DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention<br>KEY: Client safety<br>MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n\n\n\n<li>A nurse is orienting a new client and family to the medical-surgical unit. What information<br>does the nurse provide to best help the client promote his or her own safety?<br>a. Encourage the client and family to be active partners.<br>b. Have the client monitor hand hygiene in caregivers.<br>c. Offer the family the opportunity to stay with the client.<br>d. Tell the client to always wear his or her armband.<br>ANS: A<br>Each action could be important for the client or family to perform. However, encouraging the<br>client to be active in his or her health care as a safety partner is the most critical. The other<br>actions are very limited in scope and do not provide the broad protection that being active and<br>involved does.<br>DIF: Understanding TOP: Integrated Process: Teaching\/Learning<br>KEY: Client safety<br>MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n\n\n\n<li>A nurse is caring for a postoperative client on the surgical unit. The client\u2019s blood pressure<br>was 142\/76 mm Hg 30 minutes ago, and now is 88\/50 mm Hg. What action would the nurse<br>take first?<br>a. Call the Rapid Response Team.<br>b. Document and continue to monitor.<br>c. Notify the primary health care provider.<br>d. Repeat the blood pressure in 15 minutes.<\/li>\n<\/ol>\n\n\n\n<p>Btestbanks.com<br>Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 2<br>ANS: A<br>The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating<br>before they suffer either respiratory or cardiac arrest. Since the client has manifested a<br>significant change, the nurse would call the RRT. Changes in blood pressure, mental status,<br>heart rate, temperature, oxygen saturation, and last 2 hours\u2019 urine output are particularly<br>significant and are part of the Modified Early Warning System guide. Documentation is vital,<br>but the nurse must do more than document. The primary health care provider would be<br>notified, but this is not more important than calling the RRT. The client\u2019s blood pressure<br>would be reassessed frequently, but the priority is getting the rapid care to the client.<br>DIF: Applying TOP: Integrated Process: Communication and Documentation<br>KEY: Rapid Response Team (RRT), Clinical judgment<br>MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A nurse wishes to provide client-centered care in all interactions. Which action by the nurse<br>best demonstrates this concept?<br>a. Assesses for cultural influences affecting health care.<br>b. Ensures that all the client\u2019s basic needs are met.<br>c. Tells the client and family about all upcoming tests.<br>d. Thoroughly orients the client and family to the room.<br>ANS: A<br>Showing respect for the client and family\u2019s preferences and needs is essential to ensure a<br>holistic or \u201cwhole-person\u201d approach to care. By assessing the effect of the client\u2019s culture on<br>health care, this nurse is practicing client-focused care. Providing for basic needs does not<br>demonstrate this competence. Simply telling the client about all upcoming tests is not<br>providing empowering education. Orienting the client and family to the room is an important<br>safety measure, but not directly related to demonstrating client-centered care.<br>DIF: Understanding TOP: Integrated Process: Culture and Spirituality<br>KEY: Client-centered care, Culture MSC: Client Needs Category: Psychosocial Integrity<\/li>\n\n\n\n<li>A client is going to be admitted for a scheduled surgical procedure. Which action does the<br>nurse explain is the most important thing the client can do to protect against errors?<br>a. Bring a list of all medications and what they are for.<br>b. Keep the provider\u2019s phone number by the telephone.<br>c. Make sure that all providers wash hands before entering the room.<br>d. Write down the name of each caregiver who comes in the room.<br>ANS: A<br>Medication reconciliation is a formal process in which the client\u2019s actual current medications<br>are compared to the prescribed medications at the time of admission, transfer, or discharge.<br>This National client Safety Goal is important to reduce medication errors. The client would<br>not have to be responsible for providers washing their hands, and even if the client does so,<br>this is too narrow to be the most important action to prevent errors. Keeping the provider\u2019s<br>phone number nearby and documenting everyone who enters the room also do not guarantee<br>safety.<br>DIF: Applying TOP: Integrated Process: Teaching\/Learning<br>KEY: Client safety, Informatics<br>MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control<\/li>\n<\/ol>\n\n\n\n<p>Btestbanks.com<br>Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 3<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>Which action by the nurse working with a client best demonstrates respect for autonomy?<br>a. Asks if the client has questions before signing a consent.<br>b. Gives the client accurate information when questioned.<br>c. Keeps the promises made to the client and family.<br>d. Treats the client fairly compared to other clients.<br>ANS: A<br>Autonomy is self-determination. The client would make decisions regarding care. When the<br>nurse obtains a signature on the consent form, assessing if the client still has questions is vital,<br>because without full information the client cannot practice autonomy. Giving accurate<br>information is practicing with veracity. Keeping promises is upholding fidelity. Treating the<br>client fairly is providing social justice.<br>DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy<br>MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care<\/li>\n\n\n\n<li>A nurse asks a more seasoned colleague to explain best practices when communicating with a<br>person from the lesbian, gay, bisexual, transgender, and questioning\/queer (LGBTQ)<br>community. What answer by the faculty is most accurate?<br>a. Avoid embarrassing the client by asking questions.<br>b. Don\u2019t make assumptions about his or her health needs.<br>c. Most LGBTQ people do not want to share information.<br>d. No differences exist in communicating with this population.<br>ANS: B<br>Many members of the LGBTQ community have faced discrimination from health care<br>providers and may be reluctant to seek health care. The nurse would never make assumptions<br>about the needs of members of this population. Rather, respectful questions are appropriate. If<br>approached with sensitivity, the client with any health care need is more likely to answer<br>honestly.<br>DIF: Understanding TOP: Integrated Process: Teaching\/Learning<br>KEY: Health care disparities, LGBTQ MSC: Client Needs Category: Psychosocial Integrity<\/li>\n\n\n\n<li>A nurse is calling the on-call health care provider about a client who had a hysterectomy 2<br>days ago and has pain that is unrelieved by the prescribed opioid pain medication. Which<br>statement comprises the background portion of the SBAR format for communication?<br>a. \u201cI would like you to order a different pain medication.\u201d<br>b. \u201cThis client has allergies to morphine and codeine.\u201d<br>c. \u201cDr. Smith doesn\u2019t like nonsteroidal anti-inflammatory meds.\u201d<br>d. \u201cThis client had a vaginal hysterectomy 2 days ago.\u201d<br>ANS: B<\/li>\n<\/ol>\n\n\n\n<p>Btestbanks.com<br>Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 4<br>SBAR is a recommended form of communication, and the acronym stands for Situation,<br>Background, Assessment, and Recommendation. Appropriate background information<br>includes allergies to medications the on-call health care provider might order. Situation<br>describes what is happening right now that must be communicated; the client\u2019s surgery 2 days<br>ago would be considered background. Assessment would include an analysis of the client\u2019s<br>problem; none of the options has assessment information. Asking for a different pain<br>medication is a recommendation. Recommendation is a statement of what is needed or what<br>outcome is desired.<br>DIF: Applying TOP: Integrated Process: Communication and Documentation<br>KEY: Teamwork and collaboration, SBAR<br>MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive<br>personnel (AP). Four hours later, the nurse notes that the client\u2019s blood pressure taken by the<br>AP was much higher than previous readings, and the client\u2019s mental status has changed. What<br>action by the nurse would most likely have prevented this negative outcome?<br>a. Determining if the AP knew how to take blood pressure<br>b. Double-checking the AP by taking another blood pressure<br>c. Providing more appropriate supervision of the AP<br>d. Taking the blood pressure instead of delegating the task<br>ANS: C<br>Supervision is one of the five rights of delegation and includes directing, evaluating, and<br>following up on delegated tasks. The nurse would either have asked the AP about the vital<br>signs or instructed the AP to report them right away. An experienced AP would know how to<br>take vital signs and the nurse would not have to assess this at this point. Double-checking the<br>work defeats the purpose of delegation. Vital signs are within the scope of practice for a AP<br>and are permissible to delegate. The only appropriate answer is that the nurse did not provide<br>adequate instruction to the AP.<br>DIF: Analyzing TOP: Integrated Process: Communication and Documentation<br>KEY: Teamwork and collaboration, Delegation<br>MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care<\/li>\n\n\n\n<li>A newly graduated nurse in the hospital states that because of being so new, participation in<br>quality improvement (QI) projects is not wise. What response by the precepting nurse is best?<br>a. \u201cAll staff nurses are required to participate in quality improvement here.\u201d<br>b. \u201cEven being new, you can implement activities designed to improve care.\u201d<br>c. \u201cIt\u2019s easy to identify what indicators would be used to measure quality.\u201d<br>d. \u201cYou should ask to be assigned to the research and quality committee.\u201d<br>ANS: B<br>The preceptor would try to reassure the nurse that implementing QI measures is not out of line<br>for a newly licensed nurse. Simply stating that all nurses are required to participate does not<br>help the nurse understand how that is possible and is dismissive. Identifying indicators of<br>quality is not an easy, quick process and would not be the best place to suggest a new nurse to<br>start. Asking to be assigned to the QI committee does not give the nurse information about<br>how to implement QI in daily practice.<br>DIF: Applying TOP: Integrated Process: Communication and Documentation<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Btestbanks.comTest bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 1Medical Surgical Nursing 10th EditionIgnatavicius Workman Test BankChapter 01: Overview of Professional Nursing Concepts for Medical-Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th EditionMULTIPLE CHOICE Btestbanks.comTest bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition 2ANS: AThe purpose of the Rapid Response Team (RRT) is to [&hellip;]<\/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-119271","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119271","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=119271"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119271\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}