ATI RN
Client Safety Quizlet Questions
Question 1 of 5
The application of utilitarianism does not always resolve an ethical dilemma. Which of the following statements best explains why?
Correct Answer: B
Rationale: The correct answer is B because utilitarianism focuses on maximizing overall utility or usefulness, which can be subjective and vary among individuals in a diverse community. This diversity can lead to disagreements on what is considered useful, making it challenging to find agreement on a definition of usefulness. Therefore, applying utilitarianism may not always resolve ethical dilemmas in such contexts. A: This statement is incorrect as utilitarianism does not solely eliminate the need to discuss spiritual values but rather emphasizes maximizing overall utility. C: This statement is incorrect as laws do not necessarily prohibit the application of utilitarianism, but rather the complexity of ethical dilemmas may not always be easily resolved through this approach. D: This statement is incorrect as utilitarianism aims to address difficult ethical decisions by evaluating the usefulness of different options.
Question 2 of 5
Which finding on a chest x-ray is most indicative of ARDS in a patient with progressive respiratory distress?
Correct Answer: C
Rationale: The correct answer is C because diffuse bilateral infiltrates or 'white-out' appearance on a chest x-ray are classic findings in Acute Respiratory Distress Syndrome (ARDS) due to widespread alveolar damage and fluid accumulation. This pattern reflects severe impairment of gas exchange. Choice A is incorrect because unilateral infiltrates in the upper lobe are more indicative of conditions like pneumonia or lung cancer. Choice B is incorrect because cardiomegaly with pleural effusion suggests heart failure rather than ARDS. Choice D is incorrect because normal findings despite severe symptoms are not characteristic of ARDS, which presents with significant abnormalities on imaging due to the underlying lung injury.
Question 3 of 5
A finding indicating to the nurse that a 22-year-old patient with respiratory distress is in acute respiratory failure includes a
Correct Answer: B
Rationale: The correct answer is B because a PaO2 of 45 mm Hg indicates hypoxemia, a common feature of acute respiratory failure. In acute respiratory failure, the patient's lungs are unable to provide enough oxygen to meet the body's demands, leading to low oxygen levels in the blood. Shallow breathing (choice A) is a sign of respiratory distress but not specific to acute respiratory failure. A PaCO2 of 34 mm Hg (choice C) is within the normal range and would not indicate acute respiratory failure. A respiratory rate of 32/min (choice D) may indicate respiratory distress but alone is not sufficient to confirm acute respiratory failure.
Question 4 of 5
Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct?
Correct Answer: D
Rationale: Rationale: Correct Answer (D): PEEP prevents the lung air sacs from collapsing during exhalation. PEEP helps maintain lung recruitment by keeping the air sacs open at the end of expiration, preventing collapse and improving oxygenation. This is crucial in patients with ARDS to prevent atelectrauma and improve gas exchange. Incorrect Choices: A: Incorrect. PEEP does not prevent fibrosis of the lung. Its primary purpose is to maintain lung recruitment. B: Incorrect. PEEP does not push more air into the lungs during inhalation but helps keep the lungs open during exhalation. C: Incorrect. PEEP does not directly control the oxygen percentage delivered by the ventilator; its main role is to maintain lung volume.
Question 5 of 5
The high-pressure alarm on a patient's ventilator goes off. When you enter the room to assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is struggling to sit up. Which action should you take next?
Correct Answer: C
Rationale: The correct answer is C: Manually ventilate the patient while assessing possible reasons for the high-pressure alarm. This is the best course of action because the patient is in distress with low oxygen saturation and struggling to sit up, indicating a critical situation. Manually ventilating the patient ensures adequate oxygenation and ventilation while addressing the high-pressure alarm issue promptly. Assessing the possible reasons for the alarm is crucial to identify and address the underlying problem causing the high pressure. Choice A is incorrect because inserting an oral airway is not the priority in this situation and may delay addressing the patient's respiratory distress. Choice B is incorrect as reassuring the patient does not address the underlying issue of the high-pressure alarm and the patient's deteriorating condition. Choice D is incorrect as increasing the fraction of inspired oxygen without assessing the reason for the high-pressure alarm may not resolve the issue and could potentially worsen the patient's condition.