Medical Surgical Nursing Patient Centered Collaborative Care 8th Edition by Donna D. Ignatavicius - Test Bank

Chapter 1: Introduction to Medical-Surgical Nursing Practice

Ignatavicius: Medical-Surgical Nursing, 8th Edition

MULTIPLE CHOICE

1. 2. 3. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The

preceptor advises the 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 safety is the

priority. Up to 98,000 deaths result each year from errors in hospital care, according to the

2000 Institute of Medicine report. Many more clients have suffered injuries and less serious

outcomes. Every nurse has the responsibility to guard the client’s safety.

DIF: Understanding/Comprehension REF: 2 KEY: Patient safety

MSC: NOT: Control

Integrated Process: Nursing Process: Intervention

Client Needs Category: Safe and Effective Care Environment: Safety and Infection

A nurse is orienting a new client and family to the inpatient unit. What information does the

nurse provide to help the client promote his or her own safety?

a. b. c. d. Encourage the client and family to be active partners.

Have the client monitor hand hygiene in caregivers.

Offer the family the opportunity to stay with the client.

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 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/Comprehension REF: 3 KEY: Patient safety

MSC: Integrated Process: Teaching/Learning

NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection

Control

A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure

was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is

best?

a. b. c. d. Call the Rapid Response Team.

Document and continue to monitor.

Notify the primary care provider.

Repeat blood pressure measurement in 15 minutes.4. 5. ANS: A

The purpose of the Rapi