ATI RN Fundamentals 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Client care provider. The nurse manager is functioning in the role of overseeing and supervising the newly licensed nurse as they perform a straight catheterization on a client to ensure proper technique and client safety. As a client care provider, the nurse manager is responsible for ensuring that the client receives safe and effective care.

Explanation for the other choices:
A: Client educator - This role involves providing information and teaching clients about their health conditions or treatments. The nurse manager in this scenario is not directly educating the client.
B: Client advocate - This role involves speaking up for the client's best interests. While important, it is not the primary role being demonstrated in this scenario.
D: Case manager - This role involves coordinating care and services for clients across different healthcare settings. The nurse manager in this scenario is focused on direct observation and supervision of a procedure, rather than overall care coordination.

Correct Answer: B

Rationale: The correct answer is B: Help the client lie on the floor. This is the first action to take during a seizure to prevent injury. By lowering the client to the floor, the risk of falling and hitting objects is minimized, ensuring safety. Turning the client onto their side (choice
A) can be done after they are on the floor to prevent aspiration. Loosening clothing (choice
C) and moving items away (choice
D) are important but secondary to ensuring the client is on the ground.

Correct Answer: A

Rationale:
Correct Answer: A


Rationale: Performing ankle and knee exercises every hour helps prevent muscle atrophy and improve circulation, reducing adverse effects of immobility. This promotes joint mobility and prevents blood clots.


Choice B: Having a partner help change positions every 4 hours may not be frequent enough to prevent complications of immobility.


Choice C: Removing antiembolic stockings while in bed can increase the risk of blood clots as they are meant to promote circulation.


Choice D: Holding breath when rising from a sitting position can lead to dizziness and falls, not addressing the adverse effects of immobility.

Correct Answer: A,C

Rationale: The correct answers are A and C. Option A is important as adjusting oxygen flow rate can help ease breathing, ensuring optimal oxygen delivery. Option C advises storing the oxygen cylinder wrench with the tank for easy access in case of emergencies. These two pieces of information are crucial for maintaining proper oxygen therapy and ensuring safety.

Options B, E, F, and G are incorrect. Option B states a specific duration for antibiotic therapy, which may vary depending on the type of infection. Option E relates to steroid medication administration timing, which can vary based on the specific medication and condition. Option F provides general advice on antibiotic administration but may not apply to all antibiotics. Option G implies a specific tapering schedule for steroids, which should be individualized based on the patient's condition and response.

Correct Answer: D

Rationale:
Correct Answer: D

Rationale: Cutting the old ties after securing the new ties ensures that the client's airway remains stable throughout the procedure. If the old ties are cut before securing the new ties, there is a risk of accidental decannulation, leading to potential airway compromise. This step-by-step approach prioritizes patient safety and prevents unnecessary risks during the tracheostomy tie change.
Summary:
A: Allowing space for three fingers under the ties is important for proper fit but not the immediate action needed during the tie change.
B: Using a quick-release knot may be helpful for easy removal in emergencies but is not the primary concern during the tie change.
C: Extending the client's neck may help with visualization but is not essential for securing the ties.
D: Cutting the old ties after securing the new ties is the correct action to maintain airway stability.
E, F, G: No information provided.