ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 5
When prone positioning is used in the care of a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective?
Correct Answer: C
Rationale: In the context of caring for a patient with acute respiratory distress syndrome (ARDS), the correct answer is option C) The patient's PaO2 is 90 mm Hg, and the SaO2 is 92%. This information indicates that prone positioning, a technique used to improve oxygenation in ARDS patients by optimizing ventilation-perfusion matching, is effective. An increase in PaO2 and SaO2 levels suggests improved oxygen exchange, indicating the success of the intervention. Option A is incorrect because intact skin on the back is more indicative of pressure ulcer prevention rather than the effectiveness of prone positioning for ARDS. Option B is unrelated to the effectiveness of prone positioning and pertains more to infection control. Option D is also incorrect as minimal mucous return after endotracheal suctioning does not directly correlate with the effectiveness of prone positioning in ARDS management. Educationally, understanding the rationale behind the correct answer reinforces the importance of monitoring oxygenation parameters in patients with ARDS undergoing prone positioning. It highlights the significance of using evidence-based practice to assess the effectiveness of interventions and make informed clinical decisions to optimize patient outcomes.
Question 2 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A) 'I need to talk to you about unit expectations regarding delegating and completing tasks.' This response is appropriate because it directly addresses the behavior of delegating unfairly and leaving tasks incomplete. It opens the door for a constructive conversation about the issue, focusing on unit expectations and professional behavior. Option B is incorrect because it does not promote a solution-focused approach and may lead to defensiveness or conflict. Option C is not the best choice as it immediately threatens to involve higher authority without attempting to address the issue directly with the staff nurse first. Option D is also incorrect as it uses accusatory language that can escalate the conflict rather than resolve it. In an educational context, it is crucial for nurse leaders to address conflicts in a professional and constructive manner. By choosing option A, the charge nurse demonstrates effective communication skills, leadership, and a commitment to resolving conflicts within the team to maintain a safe and efficient work environment. It also promotes a culture of accountability and teamwork, essential for ensuring client safety and quality care delivery.
Question 3 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?
Correct Answer: B
Rationale: In this scenario, option B is the correct choice because it aligns with the legal standard used to determine negligence in a situation where a client is injured while under a nurse's care. The standard of care is established by what a reasonable, prudent nurse would do in a similar situation. Therefore, the testimony of another staff nurse regarding the expected actions of a competent and careful nurse is crucial in assessing whether negligence occurred. Option A is incorrect because the opinion of an expert nurse is not the standard used in legal proceedings to determine negligence. Option C is incorrect as the opinion of the client's attorney does not establish the standard of care for nursing practice. Option D is also incorrect because the client's provider's testimony does not define the standard of care for nursing. Educationally, understanding the legal implications of nursing practice is essential for all healthcare professionals. Nurses need to be aware of the standards of care expected of them and how these standards are applied in legal situations involving patient injuries. By knowing the correct legal standard of care, nurses can ensure they practice in a manner that minimizes the risk of negligence allegations and protects both themselves and their patients.
Question 4 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?
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 5 of 5
A nurse is planning care for a client with anorexia nervosa. Which client goal is the priority?
Correct Answer: A
Rationale: In caring for a client with anorexia nervosa, the priority goal is to ensure the client attains a healthy weight greater than the 75th percentile for age and height (Option A). This goal is critical because individuals with anorexia nervosa often have dangerously low body weights that can lead to severe medical complications, including cardiac issues and organ failure. By prioritizing weight restoration, the nurse addresses the immediate physical health risks associated with anorexia nervosa. Option B, making positive statements about body image, while important for promoting self-esteem and psychological well-being, is not the priority in this case. Clients with anorexia nervosa often have distorted body image perceptions, and addressing this issue typically follows successful weight restoration. Option C, feeling in control of her behavior, and Option D, identifying changes in the family unit that promote autonomy, are important psychosocial goals in the care of clients with anorexia nervosa. However, these goals are secondary to addressing the life-threatening physical effects of malnutrition associated with the disorder. In an educational context, it is vital for nurses to understand the hierarchy of priorities in caring for clients with anorexia nervosa. By focusing on weight restoration as the priority goal, nurses can effectively address the immediate health risks and lay the foundation for addressing psychological and social aspects of the illness in the long term. This approach ensures that client safety and well-being are the primary considerations in care planning.