Test Bank - for Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative, Exams of General Surgery

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Section I: Essential Concepts of Medical-Surgical Nursing

Chapter 1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing

Chapter 2. Clinical Judgment and Systems Thinking

Chapter 3. Overview of Health Concepts for Medical-Surgical Nursing

Chapter 4. Concepts of Care for Older Adults

Chapter 5. Concepts of Care for Transgender and Nonbinary Patients

Chapter 6. Assessment and Concepts of Care for Patients with Pain

Chapter 7. Concepts of Rehabilitation for Chronic and Disabling Health Conditions

Chapter 8. Concepts of Care for Patients at End-of-Life

Chapter 9. Concepts of Care for Perioperative Patients

Section II: Concepts of Emergency Care and Disaster Preparedness

Chapter 10. Concepts of Emergency and Trauma Nursing

Chapter 11. Concepts of Care for Patients with Common Environmental Emergencies

Chapter 12. Concepts of Disaster Preparedness

Section III: Concepts of Fluid, Electrolyte, and Acid-Base Balance and Imbalance

Chapter 13. Concepts of Fluid and Electrolyte Balance and Imbalance

Chapter 14. Concepts of Acid-Base Balance and Imbalance

Chapter 15. Concepts of Infusion Therapy

Section IV: Interprofessional Collaboration for Patients with Immunity

Conditions

Chapter 16. Concepts of Inflammation and Immunity

Chapter 17. Concepts of Care for Patients with Allergy and Immunity Conditions

Chapter 18. Concepts of Care for Patients with Cancer

Chapter 19. Concepts of Care for Patients with Infection

Section V: Interprofessional Collaboration for Patients with Integumentary

System Conditions

Chapter 20. Assessment of Skin, Hair, and Nails

Chapter 21. Concepts of Care for Patients with Conditions of the Skin, Hair, and Nails

Section VI: Interprofessional Collaboration for Patients with Respiratory System

Conditions

Chapter 22. Assessment of the Respiratory System

Chapter 23. Concepts of Care for Patients with Noninfectious Upper Respiratory

Conditions

Chapter 24. Concepts of Care for Patients with Noninfectious Lower Respiratory

Conditions

Chapter 25. Concepts of Care for Patients with Infectious Respiratory Conditions

Chapter 26. Critical Care of Patients with Respiratory Emergencies

Section VII: Interprofessional Collaboration for Patients with Cardiovascular

System Conditions

Chapter 27. Assessment of the Cardiovascular System

Chapter 28. Concepts of Care for Patients with Dysrhythmias

Chapter 29. Concepts of Care for Patients with Cardiac Conditions

Chapter 30. Concepts of Care for Patients with Vascular Conditions

Chapter 31. Critical Care of Patients with Shock

Chapter 32. Critical Care of Patients with Acute Coronary Syndromes

Section VIII: Interprofessional Collaboration for Patients with Hematologic

System Conditions

Chapter 33. Assessment of the Hematologic System

System Conditions

Chapter 61. Assessment of the Reproductive System

Chapter 62. Concepts of Care for Patients with Breast Conditions

Chapter 63. Concepts of Care for Patients with Gynecologic Conditions

Chapter 64. Concepts of Care for Patients with Male Reproductive Conditions

Chapter 65. Concepts of Care for Patients with Sexually Transmitted Infections

Test Bank - for Medical-Surgical Nursing Concepts for Clinical

Judgment and Collaborative Care 11th Edition( Donna D.

Ignatavicius,2024) Newest Edition complete solution

Chapter q01: q Overview q of q Professional q Nursing q Concepts q for

q Medical-qSurgical qNursing

MULTIPLE q CHOICE

1. A qnurse qwishes q to qprovide q client-centered q care qin q all q interactions. qWhich qaction qby q the qnurse qbestqdemonstrates qthis qconcept? a. Assesses qfor q cultural q influences q affecting q health q care b. Ensures q that qall qthe q clients qbasic qneeds qare qmet c. Tells qthe qclient qand qfamily qabout qall qupcoming qtests d. Thoroughly qorients q the qclient q and qfamily qto qthe qroom ANS: qA Competency q in q client-focused q care qis qdemonstrated q when q the qnurse qfocuses q on qcommunication, q culture, q respect qcompassion, qclientqeducation, qand qempowerment. qBy qassessing qthe qeffect qof qthe qclients qculture qon qhealth qcare, qthis q nurse q is q practicing q client- focused q care. qProviding qfor qbasic qneeds qdoes q not qdemonstrate q this q competence. Simply q telling q the q client qabout q all qupcoming q tests q is q not qproviding q empowering q education. qOrienting qthe q client qand qfamily qto qthe qroom qis qan qimportant qsafety qmeasure, qbut qnot qdirectly qrelated qto qdemonstrating qclient-centered qcare. DIF: qUnderstanding/Comprehension qREF: q 3 KEY: qPatient-centered qcare| qculture qMSC: qIntegrated qProcess: qCaring qNOT: qClient qNeeds qCategory: qPsychosocial qIntegrity
2. A qnurse q is q caring q for qa q postoperative q client qon q the qsurgical q unit. q The q clients q blood qpressure qwas q 142/76 qmmqHg q 30 qminutes qago, qand qnow qis q88/50 qmm qHg. qWhat qaction qby qthe qnurse qis qbest?

DIF: qUnderstanding/Comprehension qREF: q 3 qKEY: qPatient qsafety MSC: qIntegrated qProcess: qTeaching/Learning NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control

4. A qnew qnurse qis qworking qwith qa qpreceptor qon qan qinpatient q medical-surgical qunit. qThe qpreceptor qadvises qtheqstudent qthat qwhich qis qthe qpriority qwhen qworking qas qa qprofessional qnurse? a. Attending qto qholistic qclient qneeds b. Ensuring qclient qsafety c. Not qmaking qmedication q errors d. Providing q client-focused q care ANS: qB All qactions q are qappropriate qfor q the qprofessional qnurse. qHowever, q ensuring qclient qsafety q is q the qpriority. qUp qto q98,000 qdeaths qresult qeach qyear qfrom qerrors qin qhospital qcare, qaccording qto qthe q 2000 qInstitute qof q Medicine qreport.qMany qmore qclients qhave qsuffered qinjuries qand qless qserious qoutcomes. qEvery qnurse qhas qthe qresponsibility qtoqguard qthe qclients qsafety. DIF: qUnderstanding/Comprehension qREF: q 2 qKEY: qPatient qsafety MSC: qIntegrated qProcess: qNursing qProcess: qIntervention NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control
5. A q client q is q going q to q be qadmitted q for qa qscheduled q surgical qprocedure. qWhich q action q does qthe qnurse qexplain q isqthe qmost qimportant qthing qthe qclient qcan qdo qto qprotect qagainst qerrors? a. Bring q a qlist qof qall q medications q and qwhat qthey qare qfor. b. Keep qthe qdoctors q phone qnumber q by qthe q telephone. c. Make qsure qall qproviders qwash q hands qbefore qentering qthe qroom. d. Writeqdown qthe qname qof qeach qcaregiverqwho qcomes qin qthe qroom. ANS: qA

Medication qerrors qare qthe qmost qcommon qtype qof qhealth qcare qmistake. qThe qJoint qCommissions qSpeak qUp qcampaign qencourages qclients qto qhelp qensure qtheir qsafety. qOne qrecommendation qis qfor qclients qto qknow qall qtheir qmedications qand qwhy qthey qtake qthem. qThis qwill qhelp qprevent qmedication qerrors. DIF: qApplying/Application q REF: q 4 KEY: qSpeak qUp q campaign| qpatient qsafety qMSC: qIntegrated qProcess: qTeaching/Learning NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control

6. Which qaction qby qthe qnurse qworking q with q a q client qbest qdemonstrates q respect qfor qautonomy? a. Asks qif qthe qclient qhas qquestions qbefore qsigning qa qconsent b. Gives q the qclient qaccurate qinformation q when qquestioned c. Keeps qthe qpromises qmade qto qthe qclient qand qfamily d. Treats qthe qclient qfairly qcompared qto qother qclients ANS: qA Autonomy q is qself-determination. qThe qclient qshould qmake qdecisions q regarding q care. qWhen q the qnurse qobtains q aqsignature qon qthe qconsent qform, qassessing qif qthe qclient qstill qhas qquestions qis qvital, qbecause qwithout qfull qinformation qthe qclient qcannot qpractice qautonomy. qGiving qaccurate qinformation qis qpracticing q with qveracity. Keeping q promises q is q upholding q fidelity. qTreating q the q client q fairly q is q providing q social q justice.

ANS: qA The qpurpose qof qthe qRapid qResponse qTeam q(RRT) qis qto qintervene qwhen qclients qare qdeteriorating qbefore qthey qsuffer qeither qrespiratory qor qcardiac qarrest. qSince qthe qclient qhas qmanifested qa qsignificant qchange, qthe qnurse qshould qcall qthe qRRT. qChanges qin qblood q pressure, qmental qstatus, qheart qrate, qand q pain qare qparticularly qsignificant. Documentation qis qvital, qbut qthe qnurse q must qdo qmore qthan qdocument. qThe qprimary qcare qprovider qshould qbe qnotified, qbut qthis qis qnot qthe qpriority qover qcalling qthe qRRT. qThe qclients qblood qpressure qshould qbe qreassessed qfrequently, qbut qthe qpriority qis qgetting qthe qrapid qcare qto qthe qclient. DIF: qApplying/Application q REF: q 3 KEY: qRapid qResponse qTeam q(RRT)| qmedical qemergencies qMSC: qIntegrated qProcess: qCommunication q and qDocumentation NOT: q Client q Needs q Category: q Physiological q Integrity: q Physiological q Adaptation

9. A qnurse qis qorienting qa qnew qclient qand qfamily qto qthe qinpatient qunit. q What qinformation qdoes qthe qnurse qprovide qtoqhelp qthe qclient qpromote qhis qor qher qown qsafety? a. Encourage qthe qclient qand qfamily qto qbe qactive qpartners. b. Have qthe qclient q monitor qhand q hygiene q in q caregivers. c. Offer qthe qfamily q the qopportunity q to qstay qwith qthe qclient. d. Tell qthe qclient qto qalways qwear qhis qor qher qarmband. ANS: qA Each qaction qcould qbe qimportant qfor qthe qclient qor qfamily qto qperform. qHowever, qencouraging qthe qclient qto qbe qactive qin qhis qor qher qhealth qcare qas qa qpartner qis qthe qmost qcritical. qThe qother qactions qare qvery qlimited qin qscope qand qdo qnot qprovide qthe qbroad qprotection qthat qbeing qactive qand qinvolved qdoes. DIF: qUnderstanding/Comprehension qREF: q 3 qKEY: qPatient qsafety

MSC: qIntegrated qProcess: qTeaching/Learning NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control

10. A qnew qnurse qis qworking qwith qa qpreceptor qon qan qinpatient q medical-surgical qunit. qThe qpreceptor qadvises qtheqstudent qthat qwhich qis qthe qpriority qwhen qworking qas qa qprofessional qnurse? a. Attending qto qholistic qclient qneeds b. Ensuring qclient qsafety c. Not qmaking qmedication q errors d. Providing q client-focused q care ANS: qB All qactions q are qappropriate qfor q the qprofessional qnurse. qHowever, q ensuring qclient qsafety q is q the qpriority. qUp qto q98,000 qdeaths qresult qeach qyear qfrom qerrors qin qhospital qcare, qaccording qto qthe q 2000 qInstitute qof q Medicine qreport.qMany qmore qclients qhave qsuffered qinjuries qand qless qserious qoutcomes. qEvery qnurse qhas qthe qresponsibility qtoqguard qthe qclients qsafety. DIF: qUnderstanding/Comprehension qREF: q 2 qKEY: qPatient qsafety MSC: qIntegrated qProcess: qNursing qProcess: qIntervention NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control
11. A q client q is q going q to q be qadmitted q for qa qscheduled q surgical qprocedure. qWhich q action qdoes q the qnurse qexplain q isqthe qmost qimportant qthing qthe qclient qcan qdo qto qprotect qagainst qerrors? a. Bring q a qlist qof qall q medications q and qwhat qthey qare qfor. b. Keep qthe qdoctors q phone qnumber q by qthe q telephone. c. Make qsure qall qproviders qwash q hands qbefore qentering qthe qroom. d. Writeqdown qthe qname qof qeach qcaregiverqwho qcomes qin qthe qroom. ANS: qA Medication qerrors qare qthe qmost qcommon qtype qof qhealth qcare qmistake. qThe qJoint

d. No qdifferences q exist q in q communicating q with q this q population. ANS: qB Many qmembers qof qthe qLGBTQ qcommunity qhave qfaced qdiscrimination qfrom qhealth qcare qproviders qand q may qbeqreluctant qto qseek qhealth qcare. qThe qnurse qshould qnever qmake qassumptions qabout qthe qneeds qof qmembers qof qthis qpopulation. qRather, qrespectful qquestions qare qappropriate. qIf qapproached q with qsensitivity, qthe qclient qwith qany qhealth qcare qneed qis qmore qlikely qto qanswer qhonestly. DIF: qUnderstanding/Comprehension qREF: q 4 qKEY: qLGBTQ| qdiversity MSC: qIntegrated qProcess: qTeaching/Learning NOT: qClient q Needs q Category: q Psychosocial q Integrity

14. A qnurse q is q calling qthe qon-call qphysician q about qa qclient qwho q had q a qhysterectomy q 2 qdays q ago qand qhas qpain q thatqis q unrelieved qby qthe qprescribed q narcotic qpain q medication. qWhich qstatement q is qpart qof qthe qSBAR q format qfor qcommunication? a. A: qI qwould q like qyou qto q order qa q different qpain qmedication. b. B:qThis qclient qhas qallergies qto qmorphineqand qcodeine. c. R: qDr. qSmith qdoesnt q like qnonsteroidal q anti-inflammatory q meds. d. S:qThis qclient qhad qa qvaginal qhysterectomy q 2 qdays qago. ANS: qB SBAR qis qa qrecommended qform qof qcommunication, qand qthe qacronym qstands qfor qSituation, qBackground, qAssessment, qand qRecommendation. q Appropriate qbackground q information q includes q allergies qto qmedications qthe qon-call qphysician qmight qorder. qSituation qdescribes q what qis qhappening qright qnow qthat qmust qbe qcommunicated; qtheqclients qsurgery q 2 qdays qago qwould qbe qconsidered qbackground. qAssessment qwould qinclude qan qanalysis qof qthe qclients q problem; q asking q for qa q different q pain q medication q is q a q recommendation. qRecommendation q is q a q statement qof qwhat q is qneeded q or qwhat qoutcome q is q desired; qthis q information q about qthe qsurgeons qpreference qmight qbe qbetter qplaced qin qbackground. DIF: q Applying/Application q REF: q 5 qKEY: qSBAR| qcommunication

MSC: qIntegrated qProcess: qCommunication q and qDocumentation NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: q Management q of qCare

15. A qnurse qworking qon qa qcardiac qunit qdelegated qtaking qvital qsigns qto qan qexperienced qunlicensed qassistive qpersonnel q(UAP). qFour qhours qlater, qthe qnurse qnotes qthe qclients qblood qpressure qis q much qhigher qthan qprevious qreadings, qand qthe qclients qmental qstatus qhas qchanged. qWhat qaction qby qthe qnurse qwould qmost qlikely qhave qprevented qthis qnegative qoutcome? a. Determining qif qtheqUAP qknew qhow qto qtake qblood qpressure b. Double-checking qthe qUAP q by q taking q another qblood q pressure c. Providing qmore qappropriate qsupervision q of qthe qUAP d. Taking qthe qblood qpressure q instead qof qdelegating q the qtask ANS: qC Supervision qis qone qof qthe qfive qrights qof qdelegation qand qincludes qdirecting, qevaluating, qand qfollowing qup qon qdelegated qtasks. qThe qnurse qshould qeither qhave qasked qthe qUAP qabout qthe qvital qsigns qor qinstructed qthe qUAP qto qreport qthem qright qaway. qAn qexperienced qUAP qshould qknow qhow qto qtake qvital qsigns qand qthe qnurse qshould qnotqhave qto qassess qthis qat qthis qpoint. qDouble-checking qthe qworkqdefeats qthe qpurpose qof qdelegation. qVital qsigns qare qwithin q the qscope qof qpractice qfor q a qUAP qand qare qpermissible q to qdelegate. qThe qonly qappropriate qanswer qis q that qthe qnurse qdid qnot qprovide qadequate qinstruction qto qthe qUAP. DIF: qApplying/Application q REF: q 6 KEY: qSupervision| qdelegation| qunlicensed qassistive qpersonnel qMSC: qIntegrated qProcess: qCommunication q and qDocumentation NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: q Management q of qCare
16. A qnurse qis qtalking qwith qa qclient qwho qis qmoving qto qa qnew qstate qand qneeds qto qfind qa qnew qdoctorqand qhospitalqthere. qWhat qadvice qby qthe qnurse qis qbest?

DIF: q Applying/Application q REF: q 6 qKEY: qQuality qimprovement MSC: qIntegrated qProcess: qCommunication q and qDocumentation NOT: qClient qNeeds qCategory: q Safe qand qEffective qCare qEnvironment: qManagement q of qCareqMULTIPLE q RESPONSE

1. A qnurse qis qinterested qin q making qinterdisciplinary qwork qa qhigh qpriority. q Which qactions qby qthe qnurse qbest qdemonstrate qthis qskill? q(Select qall qthat qapply.) a. Consults qwith q other qdisciplines q on q client q care b. Coordinates qdischarge qplanning q for qhome qsafety c. Participates qin qcomprehensive q client qrounding d. Routinely qasks qother qdisciplines q about qclient qprogress e. Shows q the qnursing q care qplans q to qother qdisciplines ANS: qA, qB, qC, qD Collaborating qwith qthe qinterdisciplinary qteam qinvolves qplanning, qimplementing, qand qevaluating qclient qcare qas qa qteam qwith qall qother qdisciplines qincluded. qSimply qshowing qother qcaregivers qthe qnursing qcare qplan qis qnot qactively qinvolving qthem qor qcollaborating qwith qthem. DIF: qApplying/Application q REF: q 4 KEY: qCollaboration| q interdisciplinary qteam MSC: qIntegrated qProcess: qCommunication q and qDocumentation NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: q Management q of qCare
2. A qnurse qmanager qwishes qto qensure qthat qthe qnurses qon qthe qunit qare qpracticing qat qtheir qhighest qlevels qof qcompetency. qWhich q areas qshould q the qmanager qassess q to qdetermine q if q the qnursing q staff qdemonstrate q competency qaccording qto qthe qInstitute qof qMedicine q(IOM) qreport qHealth qProfessions qEducation: qA qBridge qto qQuality? q(Select qall qthat qapply.)

a. Collaborating qwith qan q interdisciplinary qteam b. Implementing qevidence-based q care c. Providing q family-focused q care d. Routinely qusing q informatics qin qpractice e. Using qquality q improvement q in q client qcare ANS: qA, qB, qD, qE The qIOM qreport qlists qfive qbroad qcore qcompetencies qthat qall qhealth qcare qproviders qshould qpractice. qThese qinclude qcollaborating qwith q the qinterdisciplinary q team, q implementing qevidence- based qpractice, qproviding q client-focused qcare, qusing qinformatics qin qclient qcare, qand qusing qquality qimprovement qin qclient qcare. DIF: q Remembering/Knowledge q REF: q 3 KEY: qCompetencies| qInstitute qof qMedicine q(IOM) qMSC: q Integrated q Process: q Nursing q Process: q Assessment NOT: qClient qNeeds q Category: q Safe qand qEffective qCare qEnvironment: qSafety q and q Infection q Control

3. The qnurse qutilizing q evidence-based q practice q(EBP) q considers q which qfactors q when q planning q care? q(Select q allqthat qapply.) a. Cost-saving q measures b. Nurses q expertise c. Client qpreferences d. Research qfindings e. Values qof qthe qclient ANS: qB, qC, qD, qE EBP q consists q of qutilizing q current qevidence, qthe qclients q values q and q preferences, q and q the qnurses q expertise q whenqplanning qcare. qIt qdoes qnot qinclude qcost-saving qmeasures. DIF: q Remembering/Knowledge q REF: q 6 qKEY: qEvidence-based q practice q (EBP)

Chapter q02: q Overview q of q Health q Concepts q for qMedical-

Surgical q Nursing

MULTIPLE q CHOICE

1. Acid-base qbalance qoccurs qwhen qthe qpH qlevel qof qthe qblood qis qbetween: a. q7.3 qand q7. b. q7.35 qand q7. c. q7.4 qand q7. d. q7.25 qand q7. ANS: qB Acid-base qbalance q is q the q maintenance qof qarterial qblood q pH q between q 7.35 qand q7.45 q through qhydrogen q ionqproduction qand qelimination. DIF: qUnderstanding/Comprehension qREF: q 13 qKEY: qAssessment MSC: qPhysiological qAdaptation q | qFluid q and q Electrolyte qImbalances qNOT: qDescribe q common q fluid, q electrolyte, q and q acid-base q imbalances.
2. The qnurse qwould q expect qa q patient q with q respiratory q acidosis q to q have qan q excessive qamount q of a. Hydrogen qions. b. Bicarbonate. c. Oxygen. d. Phosphate. ANS: qA Respiratory qacidosisqoccurs qwhen qtheqarterialqblood qpH qlevelqfalls qbelow q7.35qand qisqcaused qby qeither qtoo qmanyqhydrogen qions qin qthe qbody q(respiratory qacidosis) qor qtoo qlittle qbicarbonate q(metabolic qacidosis). qExcessive qoxygen qand qphosphate qare qnot qcharacteristic qof qrespiratory qacidosis. DIF: qUnderstanding/Comprehension

qREF: q 13 qKEY: qAssessment MSC: qPhysiological qAdaptation q | qFluid q and q Electrolyte qImbalances qNOT: qDescribe q common q fluid, q electrolyte, q and q acid-base q imbalances.

3. The qbest qway qfor qan q individual q to q maintain q acid-base qbalance qis qto a. avoid qorqquit qsmoking. b. exercise q regularly. c. eat qhealthy qand q well-balanced q meals. d. All qof qthe qabove. ANS: qD Maintaining q a q healthy q lifestyle q is qthe qbest qway qto q maintain q acid-base qbalance. qFor q example, qmost q cases q ofqCOPD q can q be qprevented qby qavoiding q or qquitting qsmoking, q while qregular q exercise qand q a qhealthy qdiet qcan qdecrease qthe qincidence qof qtype- 2 qdiabetes. DIF: qPatient qeducation qREF: q 14 qKEY: qAssessment MSC: qIntegrated qProcess: qTeaching/Learning NOT: qClient qNeeds qCategory: qHealth qPromotion q and qMaintenance
4. The qprocess q to q control qcellular q growth, q replication, qand qdifferentiation q to q maintain qhomeostasis q is qcalled: a. cellular qregulation. b. cellular qimpairment. c. cellular qreproduction. d. cellular qtumor. ANS: qA Cellular qRegulation q is q the q term q used qto qdescribe qboth qthe qpositive qand qnegative qaspects q of qcellular qfunction