Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th edition 2024 Update

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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th edition 2024 Update

1. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse bestdemonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tellsthe client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse
focuses on communication, culture, respectcompassion, client education,
and empowerment. By assessing the effect of the clients 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 clientcenteredcare.
DIF:Understanding/Comprehension REF: 3
KEY:Patient-centered care| culture MSC:IntegratedProcess: Caring
NOT: Client NeedsCategory: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients 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. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
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 should
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF:Applying/Application REF: 3
KEY:Rapid Response Team (RRT)| medical emergencies
MSC:IntegratedP rocess: Communication and Documentation
NOT: Client NeedsCategory: Physiological Integrity: Physiological Adaptation

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Author	ProfoundTutor
Published	30 Jul 2024
Included files	PDF
ATI PN ATI 2024 ATI ATI RN ATI MED SURG ATI Comprehensive Proctored Exam Practice Exam Study Guide Study Guide 2024