ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts?
Correct Answer: D
Rationale: The correct answer is D: Battery. Battery in the context of tort law is the intentional and unauthorized physical contact with another person that results in harm or offense. In this scenario, administering the antibiotic medication to a competent client after they have refused it constitutes unauthorized physical contact, making it a clear example of battery. This act goes against the client's autonomy and right to refuse treatment. A: Assault involves the threat of physical harm, not the actual physical contact seen in this scenario. B: False imprisonment involves restricting someone's freedom of movement, which is not applicable here. C: Negligence refers to a breach of duty of care resulting in harm, but in this case, the action is intentional, not negligent.
Question 5 of 5
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D because an ectopic pregnancy is a medical emergency that requires immediate assessment and intervention to prevent life-threatening complications. The nurse should prioritize assessing this client first to monitor for signs of rupture, such as severe abdominal pain and hypovolemic shock. Choice A is incorrect because although the client had a late term miscarriage, it is not an immediate emergency compared to an ectopic pregnancy. Choice B is incorrect as a bilateral tubal ligation is a routine surgical procedure with a lower risk of complications compared to an ectopic pregnancy. Choice C is incorrect as mastitis, while uncomfortable, is not as urgent as an ectopic pregnancy that requires immediate attention. In summary, the nurse should prioritize assessing the client admitted for an ectopic pregnancy first due to the potential life-threatening nature of the condition.