ATI RN
Client Safety Quizlet Questions
Question 1 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.
Question 2 of 5
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
Correct Answer: B
Rationale: The correct answer is B. Autonomy. Autonomy is the ethical principle that respects an individual's right to make their own decisions about their healthcare. In this scenario, the client is alert and oriented and has expressed the wish to discontinue the ventilator. As a nurse, it is important to respect the client's autonomy and honor their decision. Continuing treatment against the client's wishes would be a violation of their autonomy. Explanation for other choices: A. Veracity: Veracity refers to honesty and truthfulness. In this scenario, the issue is not about honesty but about respecting the client's wishes. C. Fidelity: Fidelity refers to being faithful and honoring commitments. While fidelity is important in nursing practice, in this case, it is more relevant to respect the client's autonomy. D. Justice: Justice refers to fairness and equality. While justice is important in healthcare, in this scenario, the main concern is respecting the client's autonomy and right to make decisions about their own
Question 3 of 5
A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
Correct Answer: C
Rationale: Rationale: 1. In SBAR communication, "Assessment" includes vital signs and objective data. 2. The client's oxygen saturation and heart rate are objective assessment findings. 3. Reporting these values under "Assessment" helps the provider understand the client's current physiological status accurately. 4. This information aids the provider in making informed decisions regarding the client's care. Summary: A. Situation focuses on the current problem or issue. B. Background provides context and relevant history. D. Recommendation offers suggestions or requests.
Question 4 of 5
An AP reports a postoperative client's dressing is saturated with blood. What task should the nurse delegate to the AP?
Correct Answer: B
Rationale: The correct answer is B: Obtain vital signs. Vital signs are essential in assessing the client's overall condition and detecting signs of hemorrhage or shock. Delegating this task to the AP allows the nurse to prioritize immediate assessment and intervention. Changing the dressing (A) requires sterile technique and assessment skills. Palpating for bladder distention (C) and observing the incision site (D) require more advanced assessment skills and interpretation, which should be done by a licensed nurse.
Question 5 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy should be initiated first because it allows the committee to identify root causes of errors and understand contributing factors. By analyzing the events leading up to each error, the committee can pinpoint system weaknesses, communication breakdowns, or training gaps that may have led to the errors. This information is crucial for developing targeted interventions to prevent future errors. A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific causes of errors, the inservice may not address the underlying issues that need to be corrected. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective as a follow-up step once the root causes of errors have been identified and addressed. D: Developing a quality improvement program for nurses involved in errors is important, but it is more effective after understanding the specific issues that need to be addressed through reviewing the events leading up to errors