ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 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.
Question 2 of 5
Sleep comfort, wrong.
Correct Answer: A
Rationale: The correct answer is A: Make patient tired before sleeping. This is because physical and mental exhaustion can improve sleep quality. By engaging in activities that make the patient tired, such as exercise or mental stimulation, they are more likely to fall asleep faster and have a deeper, more restful sleep. Providing milk, as in choice B, may be relaxing for some individuals, but it is not a guaranteed method to improve sleep comfort. Choice C and D are left blank, as they do not offer any relevant information related to improving sleep comfort.
Question 3 of 5
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: C
Rationale: The correct answer is C: Palpate pulses. This task should be assigned first because assessing the pulses can provide crucial information about the injured workers' circulation and perfusion status. By palpating pulses, the unlicensed assistive personnel can quickly identify any signs of compromised circulation or potential life-threatening conditions. This immediate assessment is essential for prioritizing care and determining the urgency of further interventions. Other choices are incorrect because: A: Getting temperatures can be important but not as immediately critical as assessing pulses for circulatory status. B: Taking blood pressure may provide valuable information, but assessing pulses gives a more direct indication of perfusion. D: Checking alertness is important, but assessing pulses should be the priority for immediate life-saving interventions.
Question 4 of 5
Oral temperature, best
Correct Answer: B
Rationale: The correct answer is B (Under tongue) for taking oral temperature. This method is widely used and recommended for its accuracy and convenience. Placing the thermometer under the tongue ensures direct contact with saliva, providing a more accurate reflection of core body temperature. Taking temperature in the gums (A) may not provide as reliable results due to variations in saliva production and positioning. No information is given for choices C and D.
Question 5 of 5
Within how many feet of oxygen administration is smoking not allowed?
Correct Answer: B
Rationale: The correct answer is B: 12 feet. This distance is established to prevent fires as oxygen supports combustion. Smoking within 12 feet of oxygen administration poses a significant fire hazard. Choice A (4 meters) is incorrect as it is greater than 12 feet. Choices C and D are incorrect as they do not provide a specific distance requirement.