ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
Maintenance of fluid balance in the patient with ARDS involves
Correct Answer: C
Rationale: Step-by-step rationale for choice C being correct: 1. ARDS patients have increased capillary permeability leading to fluid leakage into the lungs. 2. Mild fluid restriction helps prevent fluid overload and pulmonary edema. 3. Diuretics help manage any excess fluid accumulation. 4. Hydration using colloids (choice A) can exacerbate fluid overload. 5. Surfactant (choice B) is used in neonatal respiratory distress syndrome, not ARDS. 6. Keeping hemoglobin level >12 g/dL (choice D) is unrelated to fluid balance in ARDS.
Question 2 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D, Nonmaleficence. This principle emphasizes the obligation to do no harm to the patient. By discontinuing the experimental medication upon evidence of rapidly advancing kidney failure, the nurse is prioritizing the patient's well-being and preventing further harm. This decision aligns with the ethical duty to avoid causing harm to the patient. Now, let's analyze why the other choices are incorrect: A. Veracity: Veracity refers to truth-telling. Discontinuing the medication is not specifically related to truth-telling but rather to preventing harm. B. Autonomy: Autonomy relates to respecting the patient's right to make decisions about their care. Discontinuing the medication may be a decision made by the healthcare team based on patient safety, not necessarily the patient's autonomous choice. C. Fidelity: Fidelity involves being faithful and maintaining trust in the patient-nurse relationship. Discontinuing the medication can be seen as upholding fidelity by acting in the patient's
Question 3 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.
Question 4 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.
Question 5 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: Step 1: The charge nurse needs to address the issue directly and professionally with the staff nurse. Step 2: Statement A is the correct choice as it focuses on discussing unit expectations regarding delegation and task completion. Step 3: This approach promotes open communication, sets clear expectations, and provides an opportunity for improvement. Step 4: Option B is incorrect as it involves hearsay and does not address the issue directly. Step 5: Option C is not the best approach as it uses a threatening tone instead of fostering a constructive dialogue. Step 6: Option D is judgmental and accusatory, which can escalate the conflict instead of resolving it. Step 7: By choosing statement A, the charge nurse can effectively address the situation and guide the staff nurse towards better delegation and task completion practices.