ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D, Nonmaleficence. This principle emphasizes the obligation to do no harm to the patient. By discontinuing the experimental medication upon evidence of rapidly advancing kidney failure, the nurse is prioritizing the patient's well-being and preventing further harm. This decision aligns with the ethical duty to avoid causing harm to the patient. Now, let's analyze why the other choices are incorrect: A. Veracity: Veracity refers to truth-telling. Discontinuing the medication is not specifically related to truth-telling but rather to preventing harm. B. Autonomy: Autonomy relates to respecting the patient's right to make decisions about their care. Discontinuing the medication may be a decision made by the healthcare team based on patient safety, not necessarily the patient's autonomous choice. C. Fidelity: Fidelity involves being faithful and maintaining trust in the patient-nurse relationship. Discontinuing the medication can be seen as upholding fidelity by acting in the patient's
Question 2 of 5
A nurse is planning client care for herself and an assistive personnel (AP). Which task should the nurse plan to perform?
Correct Answer: C
Rationale: The correct answer is C: Assessing a client's sacrum for edema. The nurse should plan to perform this task as it requires clinical judgment and assessment skills, which are within the scope of nursing practice. The nurse can identify early signs of skin breakdown and provide appropriate interventions. Explanation of other choices: A: Administration of an enema - This task can be safely delegated to an assistive personnel as long as the client's condition is stable. B: Application of antiembolic stockings - This task does not require clinical judgment and can be delegated to an assistive personnel. D: Assisting a client to cough and deep breathe - This task can be delegated to an assistive personnel as long as the client's condition is stable.
Question 3 of 5
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: Step 1: The charge nurse needs to address the issue directly and professionally with the staff nurse. Step 2: Statement A is the correct choice as it focuses on discussing unit expectations regarding delegation and task completion. Step 3: This approach promotes open communication, sets clear expectations, and provides an opportunity for improvement. Step 4: Option B is incorrect as it involves hearsay and does not address the issue directly. Step 5: Option C is not the best approach as it uses a threatening tone instead of fostering a constructive dialogue. Step 6: Option D is judgmental and accusatory, which can escalate the conflict instead of resolving it. Step 7: By choosing statement A, the charge nurse can effectively address the situation and guide the staff nurse towards better delegation and task completion practices.
Question 4 of 5
A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?
Correct Answer: A
Rationale: The correct answer is A: Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast. This task should be completed first because monitoring blood glucose levels is essential for clients with diabetes who are on short-acting insulin to prevent hypoglycemia. Timely monitoring allows the nurse to assess the client's current glucose level and adjust the insulin dose if needed before the client eats breakfast. Choice B is incorrect because applying a condom catheter to an incontinent client is important but not as time-sensitive as blood glucose monitoring for a client on short-acting insulin. Choice C is incorrect because while feeding a client with bilateral casts is important for nutrition and comfort, it is not as time-sensitive as monitoring blood glucose levels for a client on short-acting insulin. Choice D is incorrect because delivering a clean voided urine specimen to the laboratory is important for diagnostic purposes, but it is not as time-sensitive as monitoring blood glucose levels for a client on short-acting
Question 5 of 5
At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D because inserting a nasogastric tube requires a higher level of skill and knowledge that an LPN possesses. LPNs are trained to perform more complex clinical tasks such as inserting nasogastric tubes. Postmortem care (A) is generally not within the scope of practice for LPNs. Measuring I&O (B) and obtaining weight (C) are tasks that can be safely delegated to assistive personnel as they are routine and do not require the clinical judgment and skill level of an LPN.