ATI RN
Client Safety Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
An AP reports a postoperative client's dressing is saturated with blood. What task should the nurse delegate to the AP?
Correct Answer: B
Rationale: The correct answer is B: Obtain vital signs. Vital signs are essential in assessing the client's overall condition and detecting signs of hemorrhage or shock. Delegating this task to the AP allows the nurse to prioritize immediate assessment and intervention. Changing the dressing (A) requires sterile technique and assessment skills. Palpating for bladder distention (C) and observing the incision site (D) require more advanced assessment skills and interpretation, which should be done by a licensed nurse.
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy should be initiated first because it allows the committee to identify root causes of errors and understand contributing factors. By analyzing the events leading up to each error, the committee can pinpoint system weaknesses, communication breakdowns, or training gaps that may have led to the errors. This information is crucial for developing targeted interventions to prevent future errors. A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific causes of errors, the inservice may not address the underlying issues that need to be corrected. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective as a follow-up step once the root causes of errors have been identified and addressed. D: Developing a quality improvement program for nurses involved in errors is important, but it is more effective after understanding the specific issues that need to be addressed through reviewing the events leading up to errors
Question 5 of 5
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Correct Answer: A
Rationale: The correct answer is A because attaining a healthy weight is crucial in treating anorexia nervosa to address malnutrition and restore physical health. Weight restoration is a primary goal to prevent serious medical complications and improve overall well-being. Choices B, C, and D are important aspects of treatment but may not be as critical as achieving a healthy weight for a client with anorexia nervosa. Making positive statements about body image, feeling in control of behavior, and identifying family changes are important for the client's mental and emotional well-being, but without addressing the physical aspect of malnutrition, the client's health remains at risk.