ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
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 2 of 5
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 3 of 5
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?
Correct Answer: C
Rationale: The correct answer is C: Place in respiratory/secretion precautions. This is the priority because meningococcal meningitis is spread through respiratory secretions, so isolating the child will prevent transmission. A: Institute seizure precautions is important but not the first priority. B: Monitoring neurologic status is essential but not the initial action. D: Administering antibiotics is crucial, but isolating the child to prevent spread takes precedence.
Question 4 of 5
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 5 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.