ATI RN
Client Safety Quizlet Questions
Question 1 of 5
If a patient with blood group O received blood from group A person. Which is the best likely term describing this event?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse assesses a client who had an intraosseous catheter placed in the left leg. Which assessment finding is of greatest concern?
Correct Answer: D
Rationale: The correct answer is D because a cool lower extremity could indicate impaired circulation, which is a serious concern when an intraosseous catheter is in place. Impaired circulation can lead to tissue damage or even limb loss. Assessing for any signs of circulatory compromise is crucial in this situation. Choice A is not as concerning as the duration of the catheter placement alone does not indicate any immediate issues. Choice B is important but not as critical as impaired circulation. Choice C, while not ideal, is not as urgent as a cool extremity suggesting compromised circulation.
Question 3 of 5
A 16-year-old-client diagnosed with paranoid schizophrenia experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing reply?
Correct Answer: A
Rationale: The correct answer is A. The nurse should explain that paranoid schizophrenia is a mental illness caused by a chemical imbalance in the brain, leading to altered thoughts and perceptions, including hallucinations. This response educates the parents about the underlying cause of their child's symptoms. Rationale: A: Correct - Paranoid schizophrenia is caused by a chemical imbalance in the brain, resulting in altered thoughts and perceptions. B: Incorrect - Hallucinations in schizophrenia are not typically caused by medication interactions. C: Incorrect - While serotonin levels may play a role in mental health, low serotonin alone does not directly cause schizophrenia hallucinations. D: Incorrect - Hormonal changes are not the primary cause of auditory hallucinations in paranoid schizophrenia.
Question 4 of 5
A client diagnosed with chronic schizophrenia presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?
Correct Answer: D
Rationale: Step 1: The client's symptoms of uncontrollable tongue movements, stiff neck, and difficulty swallowing are indicative of a movement disorder commonly associated with long-term antipsychotic use, known as tardive dyskinesia. Step 2: Tardive dyskinesia is characterized by involuntary repetitive movements, often affecting the face and tongue, and can be irreversible if not addressed promptly. Step 3: The standard treatment for tardive dyskinesia involves discontinuing the offending antipsychotic medication, as these symptoms are typically a side effect of prolonged exposure to dopamine-blocking medications. Step 4: Therefore, the correct answer is D: Tardive dyskinesia and treat by discontinuing antipsychotic medications. This approach aims to halt the progression of symptoms and potentially reverse some of the effects of the condition. Summary: A: Neuroleptic malignant syndrome presents with fever, altered mental status, muscle rigidity, and autonomic instability. Treatment involves discontin
Question 5 of 5
After throwing his lunch tray on the floor, the patient complains to the nurse manager about the quality of the food he is being fed during his hospital stay. In this following scenario, what defense mechanism is this patient using?
Correct Answer: C
Rationale: The correct answer is C: Rationalization. The patient is justifying or making excuses for his behavior of throwing the lunch tray by complaining about the quality of the food. This defense mechanism allows him to avoid taking responsibility for his actions by attributing them to external factors. Denial (A) would involve refusing to acknowledge his behavior, displacement (B) would be redirecting his emotions to a different target, and repression (D) would involve unconsciously blocking out the memory of his behavior. In this scenario, rationalization best fits as the patient is attempting to make his actions seem reasonable or justified.