Test Bank for Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition (Chapters 1-69)

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Medical Surgical Nursing 10th EditionIgnatavicius Workman Test BankChapter 01: Overview of Professional Nursing Concepts for Medical-Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th EditionMULTIPLE CHOICE1.A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises thenew nurse that which is theprioritywhen working as a professional nurse?a.Attending to holistic client needsb.Ensuring client safetyc.Not making medication errorsd.Providing client-focused careANS: BAll actions are appropriate for the professional nurse. However, ensuring client safety is thepriority. Health care errors have been widely reported for 25 years, many of which result inclient injury, death, and increased health care costs. There are several national andinternational organizations that have either recommended or mandated safety initiatives.Every nurse has the responsibility to guard the client9s safety. The other actions are importantfor quality nursing, but they are not as vital as providing safety. Not making medication errorsdoes provide safety, but is too narrow in scope to be the best answer.DIF:UnderstandingTOP: Integrated Process: Nursing Process: InterventionKEY: Client safetyMSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control2.A nurse is orienting a new client and family to the medical-surgical unit. What informationdoes 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: AEach action could be important for the client or family to perform. However, encouraging theclient to be active in his or her health care as a safety partner is the most critical. The otheractions are very limited in scope and do not provide the broad protection that being active andinvolved does.DIF:UnderstandingTOP: Integrated Process: Teaching/LearningKEY: Client safetyMSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control3.A nurse is caring for a postoperative client on the surgical unit. The client9s blood pressurewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nursetakefirst?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.lOMoARcPSD|13445102

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