The nursing assistant tells you that a patient who

Question 1 of 5

The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient's comfort for this problem?

A. Suggest that the patient sit up in a chair at the bedside B. Suggest that the patient's oxygen be humidified C. Suggest that a simple face mask be used instead of a nasal cannula D. Suggest that the patient be provided with an extra pillow

Correct Answer: B

Rationale: Humidifying the oxygen can help alleviate nasal discomfort caused by the drying effect of high-flow oxygen. Sitting up or using an extra pillow may improve comfort but will not address the dryness caused by the oxygen flow. Switching to a face mask is not necessary unless the patient requires a higher oxygen concentration.

Question 2 of 5

A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is which of the following?

A. A. An expert nurse provides testimony that the nurse should have handled the situation differently. B. B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation. C. C. The client's attorney states that injury to the client could have been prevented. D. D. The client's provider testifies the nurse was at fault for the injury.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A. A. A dependent adult admitted for the treatment of a spiral fracture B. B. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse C. C. A young adult client admitted for acute glomerulonephritis following a viral infection D. D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Correct Answer: A

Rationale: Physical signs of dependent adult abuse include skeletal fractures, as well as burns, bruises, welts, and lacerations. Nurses are responsible for reporting suspicion of dependent adult abuse to the proper legal authorities within the state. It is important for the nurse to note that a competent older adult has the right to make his or her own decisions about pursuing legal action. Unless a client has been found to be legally incompetent, he or she is not classified as a dependent adult.

Question 4 of 5

A nurse is planning care for a client with anorexia nervosa. Which client goal is the priority?

A. Attain a weight greater than the 75th percentile for age and height B. Make positive statements about body image C. Feel in control of her behavior D. Identify changes in the family unit that promote autonomy

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

A. The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation. B. The purpose of medication reconciliation is to prevent adverse medication reactions. C. The nurse who performs medication reconciliation is demonstrating the ethical principal of veracity. D. The International Council of Nurses Code of Ethics stipulates that the nurse performs medication reconciliation when a client is admitted to a facility, is transferred to another facility, and when a client is discharged from a facility.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient's comfort for this problem?

Nurselytic

ATI RN

ATI RN

Client Safety ATI Chapter 13 Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

ATI RN Basic

ATI RN Premium

Similar Questions