A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Questions 49

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Client Safety ATI Chapter 13 Questions

Question 1 of 9

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer: A

Rationale: This statement opens the conversation in a nonthreatening way and focuses on the issue of equitable task delegation rather than personal criticism.

Question 2 of 9

A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?

Correct Answer: D

Rationale: Upper extremity swelling could indicate infiltration, and the PICC will need to be removed. The initial dressing over the PICC site should be changed within 24 hours. This does not require immediate attention, but the swelling does. The dwell time for PICCs can be months or even years. Securement devices are being used more often now to secure the catheter in place and prevent complications such as phlebitis and infiltration. The IV should have one, but this does not take priority over the client whose arm is swollen.

Question 3 of 9

The ethics of care suggests that ethical dilemmas can best be solved by attention to relationships. How does this differ from other ethical practices? (Select all that apply.)

Correct Answer: A

Rationale: The ethics of care emphasizes the importance of relationships and context in resolving ethical dilemmas, focusing on the environment and the stories of those involved, rather than rigid rules or codes.

Question 4 of 9

The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient's comfort for this problem?

Correct Answer: B

Rationale: Humidifying the oxygen can help alleviate nasal discomfort caused by the drying effect of high-flow oxygen. Sitting up or using an extra pillow may improve comfort but will not address the dryness caused by the oxygen flow. Switching to a face mask is not necessary unless the patient requires a higher oxygen concentration.

Question 5 of 9

What leadership style does the nurse manager demonstrate by being the sole decision maker regarding issues that concern the unit?

Correct Answer: A

Rationale: An autocratic leadership style involves the leader making decisions unilaterally, without input from others. This style is often used in situations requiring quick decision-making or when the leader has all the necessary information.

Question 6 of 9

A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to

Correct Answer: D

Rationale: Providing support during seizures prevents head injuries and other complications.

Question 7 of 9

A nurse is planning care for a client with anorexia nervosa. Which client goal is the priority?

Correct Answer: A

Rationale: Meeting physiological needs, such as adequate nutrition and weight gain, takes precedence over other goals.

Question 8 of 9

Older adults frequently experience a change in sexual activity. Which best explains this change?

Correct Answer: D

Rationale: As people age, physical changes, health conditions, and life circumstances can lead to a decline in the frequency and opportunities for sexual activity, but the need for intimacy remains.

Question 9 of 9

BP checking, time is 8:30 am, the patient had just smoked. How many minutes will the patient return?

Correct Answer: B

Rationale: Patients should wait 30 minutes after smoking before having their blood pressure checked to ensure accuracy.

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