ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 5
Which instruction is priority for the nurse to discuss with the client diagnosed with ARDS who is being discharged from the hospital?
Correct Answer: A
Rationale: In the context of a client diagnosed with Acute Respiratory Distress Syndrome (ARDS) being discharged from the hospital, the priority instruction for the nurse to discuss is option A) Avoid smoking and exposure to smoke. This instruction is crucial because smoking and exposure to smoke can further exacerbate respiratory issues in a client with ARDS, leading to complications and hindering the recovery process. Option B) Do not receive flu or pneumonia vaccines is incorrect because receiving these vaccines is actually important for individuals with ARDS to prevent additional respiratory infections that can worsen their condition. Vaccines help boost the immune system and reduce the risk of contracting illnesses that could further compromise respiratory function. Option C) Avoid any type of alcohol intake is not the priority instruction in this scenario. While alcohol can have negative effects on health, particularly in individuals with respiratory issues, it is not as immediately critical as avoiding smoking and smoke exposure for a client with ARDS. Option D) It will take about one month to recuperate is also incorrect because this statement provides general information about recovery time and does not address any specific actionable steps or precautions that the client needs to take post-discharge to ensure their safety and well-being. Educationally, this question highlights the importance of understanding the specific needs and precautions for clients with respiratory conditions like ARDS. It emphasizes the critical role nurses play in educating clients about lifestyle modifications and actions that can support their recovery and promote optimal health outcomes.
Question 2 of 5
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient's arterial oxyhemoglobin saturation (SpO2) from 94% to 88%. The nurse will
Correct Answer: D
Rationale: Increasing oxygen flow rate will usually improve oxygen saturation in patients with ventilation-perfusion mismatch, as occurs with pulmonary embolism. Because the problem is with perfusion, actions that improve ventilation, such as deep-breathing and coughing, sitting upright, and suctioning, are not likely to improve oxygenation.
Question 3 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 4 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?
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 5 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.