ATI RN
Client Safety Quizlet Questions
Question 1 of 5
Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct?
Correct Answer: D
Rationale: Rationale: Correct Answer (D): PEEP prevents the lung air sacs from collapsing during exhalation. PEEP helps maintain lung recruitment by keeping the air sacs open at the end of expiration, preventing collapse and improving oxygenation. This is crucial in patients with ARDS to prevent atelectrauma and improve gas exchange. Incorrect Choices: A: Incorrect. PEEP does not prevent fibrosis of the lung. Its primary purpose is to maintain lung recruitment. B: Incorrect. PEEP does not push more air into the lungs during inhalation but helps keep the lungs open during exhalation. C: Incorrect. PEEP does not directly control the oxygen percentage delivered by the ventilator; its main role is to maintain lung volume.
Question 2 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B. Nonmaleficence. Nonmaleficence is the ethical principle of "do no harm." In this scenario, the nurse should prioritize relieving the client's pain and suffering while ensuring that the medication does not cause harm or hasten the client's death. Administering the pain medication in this context aligns with the principle of nonmaleficence. Choice A (Utilitarianism) focuses on the greatest good for the greatest number and may prioritize the client's comfort over prolonging life, which is not the main concern in this scenario. Choice C (Fidelity) relates to being faithful to commitments and agreements and does not directly address the issue of administering pain medication. Choice D (Veracity) pertains to truthfulness and honesty in communication, which is not directly relevant to the decision of administering the pain medication in this situation.
Question 3 of 5
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
Correct Answer: B
Rationale: The correct answer is B. Autonomy. Autonomy is the ethical principle that respects an individual's right to make their own decisions about their healthcare. In this scenario, the client is alert and oriented and has expressed the wish to discontinue the ventilator. As a nurse, it is important to respect the client's autonomy and honor their decision. Continuing treatment against the client's wishes would be a violation of their autonomy. Explanation for other choices: A. Veracity: Veracity refers to honesty and truthfulness. In this scenario, the issue is not about honesty but about respecting the client's wishes. C. Fidelity: Fidelity refers to being faithful and honoring commitments. While fidelity is important in nursing practice, in this case, it is more relevant to respect the client's autonomy. D. Justice: Justice refers to fairness and equality. While justice is important in healthcare, in this scenario, the main concern is respecting the client's autonomy and right to make decisions about their own
Question 4 of 5
A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
Correct Answer: C
Rationale: Rationale: 1. In SBAR communication, "Assessment" includes vital signs and objective data. 2. The client's oxygen saturation and heart rate are objective assessment findings. 3. Reporting these values under "Assessment" helps the provider understand the client's current physiological status accurately. 4. This information aids the provider in making informed decisions regarding the client's care. Summary: A. Situation focuses on the current problem or issue. B. Background provides context and relevant history. D. Recommendation offers suggestions or requests.
Question 5 of 5
An AP reports a postoperative client's dressing is saturated with blood. What task should the nurse delegate to the AP?
Correct Answer: B
Rationale: The correct answer is B: Obtain vital signs. Vital signs are essential in assessing the client's overall condition and detecting signs of hemorrhage or shock. Delegating this task to the AP allows the nurse to prioritize immediate assessment and intervention. Changing the dressing (A) requires sterile technique and assessment skills. Palpating for bladder distention (C) and observing the incision site (D) require more advanced assessment skills and interpretation, which should be done by a licensed nurse.