ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
Correct Answer: B
Rationale: The correct principle involved in this situation is beneficence. Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. In this case, the administration of immunizations may cause discomfort to the child, but the benefits of protection from diseases outweigh this temporary discomfort. By choosing to immunize the child, the healthcare provider is acting in the child's best interest to prevent future harm from potentially deadly diseases. This decision aligns with the principle of beneficence. A: Fidelity pertains to being faithful and keeping promises, which is not directly relevant to this situation. C: Nonmaleficence is the principle of doing no harm, but in this case, the temporary discomfort of immunization is outweighed by the long-term benefits. D: Respect for autonomy refers to respecting an individual's right to make their own decisions, which is not the primary focus in this scenario.
Question 2 of 5
The client with ARDS is on a ventilator, and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Check the tubing for any kinks. This should be implemented first because an increase in peak airway pressure may indicate an obstruction in the tubing, causing inadequate ventilation. Checking for kinks ensures the client receives adequate oxygenation and ventilation. Suctioning for secretions (B) would be secondary if kinks are ruled out. Assessing the lip line of the ET tube (C) is important but not as urgent as checking for kinks. Sedating the client with a muscle relaxant (D) is not appropriate as the first intervention for high peak airway pressure.
Question 3 of 5
A patient is brought to the emergency department unconscious following a barbiturate overdose. Which potential complication will the nurse include when developing the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Hypercapnic respiratory failure related to decreased ventilatory effort. Barbiturates can depress the central nervous system, leading to decreased respiratory drive and effort, resulting in hypercapnia (elevated CO2 levels) and respiratory acidosis. This can progress to respiratory failure. The other choices are incorrect because hypoxemic respiratory failure related to diffusion limitations (B) or shunting of blood (C) are not typically associated with barbiturate overdose. Hypercapnic respiratory failure related to increased airway resistance (D) is also unlikely with barbiturate overdose, as the primary mechanism is central respiratory depression.
Question 4 of 5
All the following medications are ordered for a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) and acute renal failure. Which medication should the nurse discuss with the health care provider before administration?
Correct Answer: C
Rationale: The correct answer is C: IV gentamicin (Garamycin) 60 mg. Gentamicin is a nephrotoxic medication and should be used with caution in patients with acute renal failure, as it can further impair kidney function. Before administering this medication, the nurse should discuss with the healthcare provider to evaluate the risks versus benefits and consider alternative options. A: IV ranitidine (Zantac) 50 mg IV - This medication is commonly used to reduce gastric acid secretion and is not contraindicated in a patient with ARDS and acute renal failure. B: sucralfate (Carafate) 1 g per nasogastric tube - Sucralfate is a mucosal protective agent and is not directly related to renal function. It is safe for use in patients with renal failure. D: IV methylprednisolone (Solu-Medrol) 40 mg - Methylprednisolone is a corticoster
Question 5 of 5
For which patient would NIPPV be an appropriate intervention to promote oxygenation?
Correct Answer: D
Rationale: The correct answer is D because NIPPV is appropriate for patients with respiratory failure due to myasthenia gravis to provide ventilatory support. Myasthenia gravis is a neuromuscular disorder that can lead to respiratory muscle weakness. NIPPV can help improve ventilation and oxygenation in these patients. Choice A is incorrect because NIPPV may not be suitable for patients with unstable cardiac output and blood pressure. Choice B is incorrect as NIPPV is not typically used for respiratory failure caused by head injury with loss of consciousness. Choice C is incorrect because NIPPV may not be the first-line intervention for cystic fibrosis patients with copious secretions.