ATI RN Pharmacology 2023 -Nurselytic

Correct Answer: D

Rationale: The correct answer is D because informing the family of a deceased client of the client's wish to be an organ donor is an example of client advocacy. This action respects the client's autonomy and ensures their wishes are honored even after death, demonstrating the nurse's commitment to advocating for the client's best interests.

Choice A is incorrect because submitting an incident report is a standard procedure for risk management and does not necessarily involve advocating for the client's rights or wishes.

Choice B is incorrect as documenting the effectiveness of pain medication is part of the nurse's routine duties and does not directly relate to advocating for the client.

Choice C is incorrect as asking another nurse to check a medication calculation is a safety measure to prevent errors but does not specifically demonstrate client advocacy.
Overall, choice D stands out as the most appropriate demonstration of client advocacy among the given options.

Correct Answer: A

Rationale: The correct answer is A: High-pitched wheezing. This finding indicates a potential severe allergic reaction, such as anaphylaxis, which requires immediate medical attention. Wheezing can be a sign of airway constriction and respiratory distress, which could lead to serious complications if not treated promptly. Urticaria (choice
B) and pruritis (choice
C) are common side effects of amoxicillin and can often be managed with antihistamines. Rhinitis with clear discharge (choice
D) is not typically a sign of a severe allergic reaction. Reporting high-pitched wheezing ensures timely intervention to prevent respiratory compromise.

Correct Answer: A

Rationale:
Correct Answer: A. Asking the client if they understand the procedure is crucial in ensuring informed consent. This step confirms the client's comprehension and ability to make a decision. It promotes autonomy and ensures the client is making an informed choice.
Summary of Other

Choices:
B. Describing the procedure is important but does not ensure the client's understanding.
C. Informing about alternative treatments is valuable but may not be directly related to confirming understanding.
D. Explaining risks is essential, but understanding them doesn't guarantee comprehension of the overall procedure.

Correct Answer: B

Rationale:
Correct Answer: B


Rationale:
The correct answer is B because sharing health information with a relative without the client's permission would violate client confidentiality. Respecting a client's right to privacy and obtaining their consent before sharing sensitive information is crucial in maintaining confidentiality. This principle is in line with ethical standards and legal requirements, such as the Health Insurance Portability and Accountability Act (HIPA
A). It demonstrates a clear understanding of the importance of protecting client privacy.

Incorrect choices:
A: Sharing client information in public areas like hallways violates confidentiality.
C: Sharing a client's diagnosis with any health care team member may not be necessary for their care and could breach confidentiality.
D: While accessing medical records may require permission, written permission from the provider is not specifically needed for a client to access their own records.

Correct Answer: C

Rationale: The correct answer is C: The client's oxygen tanks are stored on their side. This finding requires an intervention because oxygen tanks should always be stored in an upright position to prevent potential leaks and hazards. Storing them on their side increases the risk of leaks and accidents.

Incorrect options:
A: A fire extinguisher in the kitchen is a safety measure and does not require an intervention.
B: An electrical ground plug being present indicates proper electrical safety.
D: A walking cane with a rubber tip is a safety feature for the client and does not require an intervention.