ATI RN
Client Safety Quizlet Questions
Question 1 of 5
A finding indicating to the nurse that a 22-year-old patient with respiratory distress is in acute respiratory failure includes a
Correct Answer: B
Rationale: The correct answer is B because a PaO2 of 45 mm Hg indicates hypoxemia, a common feature of acute respiratory failure. In acute respiratory failure, the patient's lungs are unable to provide enough oxygen to meet the body's demands, leading to low oxygen levels in the blood. Shallow breathing (choice A) is a sign of respiratory distress but not specific to acute respiratory failure. A PaCO2 of 34 mm Hg (choice C) is within the normal range and would not indicate acute respiratory failure. A respiratory rate of 32/min (choice D) may indicate respiratory distress but alone is not sufficient to confirm acute respiratory failure.
Question 2 of 5
The high-pressure alarm on a patient's ventilator goes off. When you enter the room to assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is struggling to sit up. Which action should you take next?
Correct Answer: C
Rationale: The correct answer is C: Manually ventilate the patient while assessing possible reasons for the high-pressure alarm. This is the best course of action because the patient is in distress with low oxygen saturation and struggling to sit up, indicating a critical situation. Manually ventilating the patient ensures adequate oxygenation and ventilation while addressing the high-pressure alarm issue promptly. Assessing the possible reasons for the alarm is crucial to identify and address the underlying problem causing the high pressure. Choice A is incorrect because inserting an oral airway is not the priority in this situation and may delay addressing the patient's respiratory distress. Choice B is incorrect as reassuring the patient does not address the underlying issue of the high-pressure alarm and the patient's deteriorating condition. Choice D is incorrect as increasing the fraction of inspired oxygen without assessing the reason for the high-pressure alarm may not resolve the issue and could potentially worsen the patient's condition.
Question 3 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B. Nonmaleficence. Nonmaleficence is the ethical principle of "do no harm." In this scenario, the nurse should prioritize relieving the client's pain and suffering while ensuring that the medication does not cause harm or hasten the client's death. Administering the pain medication in this context aligns with the principle of nonmaleficence. Choice A (Utilitarianism) focuses on the greatest good for the greatest number and may prioritize the client's comfort over prolonging life, which is not the main concern in this scenario. Choice C (Fidelity) relates to being faithful to commitments and agreements and does not directly address the issue of administering pain medication. Choice D (Veracity) pertains to truthfulness and honesty in communication, which is not directly relevant to the decision of administering the pain medication in this situation.
Question 4 of 5
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
Correct Answer: B
Rationale: The correct answer is B. Autonomy. Autonomy is the ethical principle that respects an individual's right to make their own decisions about their healthcare. In this scenario, the client is alert and oriented and has expressed the wish to discontinue the ventilator. As a nurse, it is important to respect the client's autonomy and honor their decision. Continuing treatment against the client's wishes would be a violation of their autonomy. Explanation for other choices: A. Veracity: Veracity refers to honesty and truthfulness. In this scenario, the issue is not about honesty but about respecting the client's wishes. C. Fidelity: Fidelity refers to being faithful and honoring commitments. While fidelity is important in nursing practice, in this case, it is more relevant to respect the client's autonomy. D. Justice: Justice refers to fairness and equality. While justice is important in healthcare, in this scenario, the main concern is respecting the client's autonomy and right to make decisions about their own
Question 5 of 5
A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
Correct Answer: C
Rationale: Rationale: 1. In SBAR communication, "Assessment" includes vital signs and objective data. 2. The client's oxygen saturation and heart rate are objective assessment findings. 3. Reporting these values under "Assessment" helps the provider understand the client's current physiological status accurately. 4. This information aids the provider in making informed decisions regarding the client's care. Summary: A. Situation focuses on the current problem or issue. B. Background provides context and relevant history. D. Recommendation offers suggestions or requests.