ATI RN
Client Safety Alternatives to Restraints Quizlet Questions
Question 1 of 5
The nurse conducting a community health promotion class on sexuality includes that a person's biologic sex is determined by:
Correct Answer: B
Rationale: The correct answer is B because biologic sex is determined by both external and internal genitalia, which are physical characteristics present at birth. This is based on chromosomal and hormonal factors that dictate the development of male or female reproductive organs. Choice A is incorrect as sexual intercourse does not determine biologic sex. Choice C refers to gender identity, not biologic sex. Choice D pertains to sexual orientation, not biologic sex. In summary, the physical characteristics of external and internal genitalia are the key factors in determining a person's biologic sex.
Question 2 of 5
When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain?
Correct Answer: A
Rationale: Correct Answer: A: Fidelity Rationale: 1. Fidelity refers to the nurse's duty to uphold the patient's best interests and maintain trust. 2. By continually reviewing the pain management plan with the patient, the nurse demonstrates fidelity by ensuring the patient's priority of being free of pain is met. 3. Monitoring the patient's response to pain aligns with fidelity as it shows the nurse's commitment to the patient's well-being and trust. 4. Fidelity promotes a therapeutic nurse-patient relationship based on honesty and loyalty. Summary of Incorrect Choices: B: Beneficence - Focuses on doing good for the patient, but does not specifically address the nurse's duty to monitor and uphold the patient's priority of pain management. C: Nonmaleficence - Focuses on avoiding harm, but does not specifically address the nurse's role in monitoring and ensuring the patient's priority of pain management. D: Respect for autonomy - Focuses on respecting the patient's right to make
Question 3 of 5
Vesicle on the leg
Correct Answer: B
Rationale: The correct answer is B because a vesicle is a small fluid-filled blister on the skin. Vesicles are commonly caused by friction, burns, or insect bites, resulting in fluid accumulation beneath the skin. Pus is typically associated with larger, infected lesions such as pustules, not vesicles. Choice C and D are likely incorrect as they do not provide relevant information or support for the appearance of a vesicle on the leg.
Question 4 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 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: Step 1: Reviewing the events leading up to each medication administration error is the most crucial first step. It allows the committee to understand the root causes of the errors, identify patterns or common factors contributing to errors, and develop targeted interventions to prevent future errors. Step 2: Providing an inservice on medication administration to all nurses (Choice A) is important but should come after understanding the specific issues causing errors. Step 3: Requiring staff nurses to demonstrate competency by passing an examination (Choice B) is not the most effective initial strategy as it focuses on individual performance rather than systemic issues. Step 4: Developing a quality improvement program for nurses involved in errors (Choice D) is important but should follow the analysis of the errors to ensure the program's effectiveness in addressing the identified issues.