ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B: Ventilate with a manual resuscitation bag. This intervention is crucial as it addresses the immediate need for oxygenation and ventilation in a client with ARDS. By manually ventilating the client, the nurse can ensure an adequate supply of oxygen while the ventilator issue is being addressed. Option A is incorrect because waiting for the respiratory therapist may delay necessary intervention. Option C, requesting ABGs, is not the priority as the client's oxygenation needs must be addressed first. Option D, auscultating lung sounds, is important but not as urgent as ensuring proper ventilation. Prioritizing ventilation with a manual resuscitation bag is crucial to prevent hypoxia and respiratory failure in a client with ARDS.
Question 2 of 5
To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
Correct Answer: A
Rationale: Correct Answer: A. Arterial blood gas (ABG) analysis Rationale: 1. ABG analysis provides precise measurements of oxygenation (PaO2) and ventilation (PaCO2). 2. ABG is the gold standard for assessing respiratory function. 3. It allows for the identification of acid-base disturbances. 4. ABG provides immediate feedback for timely interventions. Summary of Other Choices: B. Hemodynamic monitoring: Primarily assesses cardiovascular function, not specific to respiratory status. C. Chest x-rays: Helpful for evaluating lung pathology but does not provide direct information on oxygenation and ventilation. D. Pulse oximetry: Measures oxygen saturation only, not ventilation status or CO2 levels.
Question 3 of 5
Which information obtained by the nurse when assessing a patient with acute respiratory distress syndrome (ARDS) who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates a complication of ventilator therapy is occurring?
Correct Answer: A
Rationale: The correct answer is A: The patient has subcutaneous emphysema. Subcutaneous emphysema is a possible complication of mechanical ventilation with high levels of PEEP in ARDS. This occurs when air escapes from the alveoli and becomes trapped under the skin. It is a sign of barotrauma, indicating that the PEEP levels may be too high for the patient. Subcutaneous emphysema can lead to serious complications such as pneumothorax, so it is crucial for the nurse to recognize and address it promptly. Explanation of other choices: B: Sinus bradycardia is not directly related to ventilator therapy complications. C: Low PaO2 and SaO2 levels are expected in ARDS and do not specifically indicate a complication of ventilator therapy. D: Bronchial breath sounds can be present in ARDS but do not specifically indicate a complication of ventilator therapy.
Question 4 of 5
Which is a proper nursing action for a patient in acute respiratory failure?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Chest physical therapy helps mobilize secretions in patients with excess sputum production, aiding in airway clearance. 2. In acute respiratory failure, sputum retention can worsen ventilation-perfusion mismatch and compromise gas exchange. 3. Providing chest physical therapy can improve ventilation, oxygenation, and respiratory function in these patients. Summary: A: Administering 100% oxygen to an intubated patient is important, but the resolution of the underlying pathology should guide oxygen therapy. C: CPAP is not appropriate for weak or absent respirations, as it requires the patient to have an intact respiratory effort. D: Administering packed red blood cells for maintaining hemoglobin levels is not directly related to addressing acute respiratory failure.
Question 5 of 5
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer:
Rationale: Correct Answer: B, A, C Rationale: 1. Confine the fire: This step is crucial to prevent the fire from spreading and causing more damage or harm. 2. Pull the fire alarm: Alerting others and activating the fire alarm will ensure a prompt evacuation and summon the fire department. 3. Extinguish the fire: Only attempt to extinguish the fire if it is safe to do so and within your capabilities. Summary of incorrect choices: - Option A: Pulling the fire alarm should be done before attempting to extinguish the fire to ensure the safety of everyone. - Option C: Attempting to extinguish the fire before confining it may lead to the fire spreading and becoming out of control.