ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 9
Eye drops OD TID.What is OD?
Correct Answer: B
Rationale: The correct answer is B: At the right eye. OD stands for "oculus dexter," which is Latin for right eye. In medicine, OD is used to specify which eye to apply medication to. The other choices are incorrect because A refers to the left eye, C is not a standard eye designation in medical terminology, and D is an incomplete option. Always remember to follow medical conventions and terminology for accurate and precise communication.
Question 2 of 9
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 3 of 9
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 9
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 5 of 9
Nail cutting
Correct Answer: A
Rationale: The correct answer is A: Follow the curve. This is because nails naturally grow in a curved shape, so cutting them following the curve helps prevent ingrown nails and maintains the nail's natural shape. Cutting straight (option B) can increase the risk of ingrown nails and discomfort. Options C and D are incomplete, so they are incorrect choices. Following the curve when cutting nails is the most effective and safe approach for maintaining healthy nails.
Question 6 of 9
Fifth vital sign
Correct Answer: B
Rationale: The fifth vital sign is pain, which is typically measured using a numerical scale. Walking on thumb tacks causes physical pain, making it an appropriate example of the fifth vital sign. Tasting spicy food does not involve physical pain and is not a vital sign. Therefore, the correct answer is B. Walking on thumb tacks.
Question 7 of 9
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.
Question 8 of 9
First defense against infection
Correct Answer: B
Rationale: The correct answer is B: Intact skin. Intact skin acts as the first defense against infection by forming a physical barrier that prevents pathogens from entering the body. It is composed of multiple layers, including the epidermis and dermis, which provide protection against microbes. Skin also produces antimicrobial substances and has immune cells that can defend against pathogens. A: Skin is not specific enough, as damaged skin may not provide effective protection. C and D are incomplete answers and do not accurately describe the primary role of intact skin in defending against infections.
Question 9 of 9
Eye drops OD TID.What is OD?
Correct Answer: B
Rationale: The correct answer is B: At the right eye. OD stands for "oculus dexter," which is Latin for right eye. In medicine, OD is used to specify which eye to apply medication to. The other choices are incorrect because A refers to the left eye, C is not a standard eye designation in medical terminology, and D is an incomplete option. Always remember to follow medical conventions and terminology for accurate and precise communication.