ATI RN
Health And Safety for Clients Questions
Question 1 of 5
Rather than simply providing physical care to patients, hospice was designed to:
Correct Answer: A
Rationale: The correct answer is A: improve a patient's quality of life. Hospice care focuses on enhancing the quality of life for patients with life-limiting illnesses through holistic care, symptom management, and emotional support. This includes addressing physical, emotional, social, and spiritual needs. Providing better psychosocial care (B) is part of improving quality of life, but not the primary goal of hospice. Reducing hospital bills for families (C) is not the main purpose of hospice, as it is more about providing comfort and support rather than financial benefits. Allowing families control over decision making for alert elders (D) is important in healthcare but is not specifically related to the core purpose of hospice care.
Question 2 of 5
Which area of a client's space does the nurse function most often during physical assessment?
Correct Answer: C
Rationale: The correct answer is C: Intimate. During a physical assessment, the nurse functions most often in the intimate area of the client's space, which includes areas such as the client's body and personal belongings. This is where the nurse performs tasks like taking vital signs, conducting physical examinations, and assessing for any abnormalities. The intimate space allows the nurse to gather detailed and sensitive information necessary for providing appropriate care. Choices A, B, and D are incorrect because the nurse does not primarily function in the public (Choice A), social (Choice B), or personal (Choice D) areas of the client's space during a physical assessment.
Question 3 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next? Electrolytes Na+ = 143 mEq/L Cl- = 101 mEq/L K+ = 5.7 mEq/L Ca++ = 9.3 mEq/L Mg ++ = 2.6 mEq/L
Correct Answer: D
Rationale: Step 1: Analyze the electrolyte panel. The potassium level is high at 5.7 mEq/L. Step 2: High potassium levels can be dangerous (hyperkalemia). Step 3: The nurse should hold the potassium chloride (KCl) supplement to prevent further elevation of potassium levels. Step 4: Re-checking the BMP (choice A) is unnecessary as the issue is clear from the electrolyte panel. Step 5: Administering calcium carbonate (choice B) is not indicated for high potassium levels. Step 6: Administering potassium chloride (KCl) (choice C) is contraindicated due to the already high potassium level.
Question 4 of 5
The nurse, who is performing a peripheral vascular exam, is unable to palpate the posterior tibialis pulse. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action because a doppler can detect the pulse even when it is difficult to palpate manually. This step ensures thorough assessment and accurate findings. Recording the finding (choice A) may leave out crucial information. Rechecking in 1 hour (choice B) is not necessary if a doppler can be used immediately. Notifying the healthcare provider (choice D) is premature before exploring all assessment options. Using a doppler is the best course of action to confirm the presence or absence of the posterior tibialis pulse accurately.
Question 5 of 5
The Health Information Portability and Privacy Act (HIPAA) influences nursing research primarily in the area related to:
Correct Answer: B
Rationale: The correct answer is B: protection of client. HIPAA primarily influences nursing research by ensuring the protection of patients' privacy and confidentiality. Researchers must comply with HIPAA regulations to safeguard patients' health information. This is crucial in maintaining trust and confidentiality in research. A: the cost of the study - HIPAA does not directly impact the cost of the study. C: what type of research method can be used - HIPAA does not dictate specific research methods. D: where the study may be published - HIPAA does not control where the study may be published.