ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
A patient with ARDS is being mechanically ventilated. The physician has ordered prone positioning. What is the primary reason for this intervention?
Correct Answer: D
Rationale: The correct answer is D. Prone positioning helps recruit collapsed alveoli by redistributing ventilation to dependent lung regions, improving oxygenation in ARDS. It enhances lung homogeneity and reduces stress on the dorsal lung regions. Choices A, B, and C are incorrect because prone positioning primarily aims to optimize oxygenation by improving lung ventilation and perfusion, rather than solely reducing diaphragm workload, enhancing perfusion to anterior lung segments, or mobilizing secretions.
Question 2 of 5
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client's safety?
Correct Answer: B
Rationale: The correct answer is B: Note escalating behaviors and intervene immediately. This is the priority as the client is exhibiting signs of acute psychosis, indicating a risk to their safety. By noting escalating behaviors and intervening immediately, the nurse can prevent potential harm to the client or others. Assessing for medication noncompliance (Choice A) is important but not the priority in this acute situation. Interpreting attempts at communication (Choice C) can be done after ensuring immediate safety. Assessing triggers for bizarre behaviors (Choice D) is not as urgent as intervening to prevent harm.
Question 3 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: Step 1: Reviewing the events leading up to each medication administration error is the most crucial first step. It allows the committee to understand the root causes of the errors, identify patterns or common factors contributing to errors, and develop targeted interventions to prevent future errors. Step 2: Providing an inservice on medication administration to all nurses (Choice A) is important but should come after understanding the specific issues causing errors. Step 3: Requiring staff nurses to demonstrate competency by passing an examination (Choice B) is not the most effective initial strategy as it focuses on individual performance rather than systemic issues. Step 4: Developing a quality improvement program for nurses involved in errors (Choice D) is important but should follow the analysis of the errors to ensure the program's effectiveness in addressing the identified issues.
Question 4 of 5
Nursing informatics, what does USB mean
Correct Answer: B
Rationale: The correct answer is B: Universal Serial Bus. USB is a common interface used to connect devices to a computer. Nursing informatics often involves using various devices that connect via USB. Choice A, Updated System Binary, is incorrect as it does not accurately describe USB. Choices C and D are blank options, making them obviously incorrect. In summary, USB stands for Universal Serial Bus, a widely used interface in nursing informatics for connecting devices to computers.
Question 5 of 5
A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?
Correct Answer: C
Rationale: The correct answer is C. Transferring a client to the discharge location would be the lowest priority for the nurse during a disaster simulation. Priority should be given to immediate actions that ensure the safety and well-being of all clients. Here's a step-by-step rationale: 1. Preventing cross-contamination (choice A) is crucial to prevent the spread of the toxic substance. 2. Performing concise client assessment (choice B) is essential to identify and prioritize care for clients based on their needs. 3. Maintaining a client tracking system (choice D) is vital for ensuring accountability and continuity of care. 4. Transferring a client to the discharge location (choice C) can be delayed as it is not immediately life-threatening or crucial for the initial response.