ATI RN
Health And Safety for Clients Questions
Question 1 of 5
The nurse notes a patient with ARDS has a rising central venous pressure (CVP) and increasing oxygen requirements. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess for fluid overload and manage diuresis if indicated. In ARDS, increasing CVP and oxygen requirements may indicate fluid overload contributing to the respiratory distress. Diuresis can help reduce fluid volume, improve oxygenation, and decrease the workload on the heart. Increasing oxygen flow rate (A) may help temporarily but doesn't address the underlying issue of fluid overload. Notifying the physician about worsening hypoxemia (C) is important but addressing fluid overload is the immediate priority. Immediate intubation (D) may be necessary in severe cases, but addressing fluid overload should be attempted first.
Question 2 of 5
Which intervention is most likely to prevent or limit barotrauma in the patient with ARDS who is mechanically ventilated?
Correct Answer: B
Rationale: The correct answer is B: Use of permissive hypercapnia. In ARDS, permissive hypercapnia allows for lower tidal volumes and pressures, reducing the risk of barotrauma. Decreasing PEEP (A) can worsen oxygenation. Increasing tidal volume (C) can exacerbate lung injury. Positive pressure ventilation (D) is necessary but can lead to barotrauma if not carefully managed.
Question 3 of 5
A Client has been intubated and placed on a volume-cycled mechanical ventilator. The nurse carefully assess the client for findings associated with a risk associated with this type of ventilator. What is the risk?
Correct Answer: D
Rationale: The correct answer is D: Barotrauma. Barotrauma refers to lung injury caused by excessive pressure during mechanical ventilation. With a volume-cycled ventilator, there is a risk of delivering high tidal volumes at high pressures, leading to barotrauma. Hypoventilation (A), hypercapnia (B), and respiratory acidosis (C) are outcomes of inadequate ventilation, but they are not the specific risk associated with a volume-cycled ventilator.
Question 4 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 is crucial for identifying root causes of errors and implementing targeted solutions. By analyzing the specific circumstances surrounding each error, the committee can uncover systemic issues, such as faulty processes or inadequate training, that contribute to errors. This approach allows for evidence-based interventions to be developed to prevent future occurrences. Option A is not the most effective initial strategy as simply providing an inservice may not address underlying systemic issues. Option B may be important but assessing competency without understanding the root causes of errors may not lead to sustainable improvements. Option D focuses on addressing errors after they occur rather than preventing them in the first place.
Question 5 of 5
A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: The correct answer is A: 'Let's talk about your concerns about the new policy.' This response is appropriate because it demonstrates active listening, empathy, and a willingness to address the nurse's concerns in a constructive manner. By encouraging open dialogue, the nurse manager can better understand the staff nurse's perspective, address any issues, and potentially find a solution that benefits both the nurse and the unit. Choice B is incorrect as it may come across as confrontational and may discourage the nurse from sharing her concerns in the future. Choice C is incorrect as it dismisses the nurse's feelings and does not address the specific issue at hand. Choice D is incorrect as it does not acknowledge the nurse's concerns and instead focuses on imposing support for the policy change without considering the nurse's perspective.