We've found 9 Medical Surgical Unit tests

Information Theory Leadership Medical Surgical Unit Nursing
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Ray Collins
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Ruth Blanco
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Rae Jordan
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Joel Boykin
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Keisha White
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Anthony Richie
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Kenneth McQuaid
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Joel Boykin
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Kenneth Miller
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the nurse on a medical surgical unit is caring for several patients with acute cholecystitis. Which task is best to delegate to the UAP?
The unit manager of a medical surgical unit is transitioning the unit to electronic charting. According to Lewin’s model, which of the following roles describes you as the change agent?
The unfreezer
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Some children will be served in the hospital in general medical surgical units, while others will be served in ICU type units, and still others will be served in special care units if they require isolation. A therapist working in one of the special care units for isolation might encounter which of the following type of clients?
pediatric clients with burns or cancer
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Which of the following client statements about advanced directives MOST concerns the nurse on the medical surgical unit?
“My living will is all made out and secure in my safe deposit box” Rationale: nurse needs to assess whether this is the only copy of the living will and whether client is the only one who has access to the safe deposit box; such storage is not advised, as it is unlikely to be available if client is incapacitated; it is advisable, but not required, that the client give copies of the living will to his/her physician and to chosen family members
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a nurse working in a medical surgical unit is preparing to administer medications to a client. the nurse plans to use 2 forms of ID to verify that she the right client. what actions should the nurse take to ID the client?
1. compare the name on the client’s wristband with the name on the MAR 2. ask the client to state his DOB 3. ask the client to state his name 4. use the bar code scan to ID the client
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A nurse is attempting to establish a therapeutic relationship with an angry, depressed patient on a medical surgical unit. Which of the following is the best nursing intervention? A. Use humor to soften the intensity of the patient’s anger. B. Establish a social friendship with the patient. C. Empathize with the patient as he describes current stressors. D. Establish daily time limits for the patient to talk negatively about his situation.
C The use of empathy can establish a therapeutic relationship and reduce barriers to the relationship caused by anger or depression.
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You are the nurse manager of a medical surgical unit that is in need of a change in staffing rotation patterns. which will lead to major changes in how the unit is staffed. According to Lewin’s Change Theory, what forces are in play to enact these changes?
Driving Force
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You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the Medical Surgical unit. The surgery was very stressful and prolonged and you note on the chart that her blood sugars are elevated yet she in not been diagnosed with diabetes. To what do you attribute this elevation in blood sugars? a) It is a result of antidiuretic hormone. b) She must have had diabetes prior to surgery. c) She has become a diabetic from the abdominal surgery. d) The blood sugars are probably a result of the “fight-or-flight” reaction.
The blood sugars are probably a result of the “fight-or-flight” reaction. Explanation: During stressful situations, ACTH stimulates the release of cortisol from the adrenal gland, which creates protein catabolism releasing amino acids and stimulating the liver to convert amino acids to glucose, the result is elevated blood sugars. Option A is incorrect, antidiuretic hormone is released during stressful situations and stimulates reabsorption of water in the distal and collecting tubules of the kidney. Option B is incorrect; assuming the patient had diabetes prior to surgery demonstrates a lack of understanding of stress induced hyperglycemia. Option C is incorrect, there is no evidence presented in the question other than are elevated blood sugars that would support a diagnosis of diabetes.
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The nurse manager for a medical surgical unit is implementing change in unit procedures as it relates to patient discharge. During the fourth phase of change known as action, the manager should incorporate the major component known as:
Communication
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