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ATI Management Practice A and B
ATI Management Practice A
- A community health nurse is reinforcing teach with a group of parents
about home safety for children of various age groups.Which of the following
information should the nurse plan to include ANS The supine position is the
safetyfor sleeping infants.
The nurse should reinforce placing an infant in the supine position is recommended
by the American Academy of Pediatrics to decrease the risk of sudden infant death
syndrome (SIDS). - A nurse is monitoring a client who is receiving IV fluids via an infusion
pump and notes the pump is malfunctioning.Which of the following actions
should the nurse take ANS Place a tag on the IV pump.
The nurse should place a tag on the malfunctioning IV pump and remove it from
service to prevent injury to the client and others. - A nurse is caring for an adolescent client who requires a blood transfusion.
The client’s parents will not consent to the transfusion due to religious
beliefs. Which of the following actions should the nurse take ANS Inform
the charge nurse and recommend that social services be contacted.
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The nurse has an obligation to act as an advocate for the client. The nurse should
inform the charge nurse of the parents’ decision and recommend that social
services is contacted to further advocate for the client.
- A nurse is assigned to care for a client who is in isolation. Which of the
following actions should the nurse take to manage time effectively while
caring for this client ANS Organize care into groups that can be performed at
onetime.
The nurse should implement this strategy to streamline the workflow by providing
less fragmented care and reducing time spent traveling from area to area. - A nurse is assisting with the care of a client who has terminal cancer and is
receiving chemotherapy.The client tells the nurse that she is only continuing
treatment for her family’s sake.Which of the following responses should the
nurse make ANS “Let’s talk about your reasons for continuing treatment.”
This response by the nurse is therapeutic because it focuses the conversation on
the key components of the message and allows the client to discuss the treatment
and any concerns she is having. The nurse also validates the client’s feelings and
thoughts, which enhances trust between the nurse and the client. - A nurse is caring for a client who received a skin tear during a routine
dressing change. After completing an incident report, which of the following
actions should the nurse take ANS Submit the incident report to the nurse
managerfor review.
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The nurse should complete an incident report for unusual occurrences or variances
in client care. The nurse manager should have the opportunity to review the
information in order to begin the quality review process.
- A nurse is reinforcing teaching with a newly licensed nurse about the
role of the nurse in informed consent. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching ANS
“My signature on the consent form indicates the client gave consent for the
procedurevoluntarily.”
The nurse’s signature on the consent form confirms that the client is competent to
give consent, the client gave the consent voluntarily, and that the client’s signature
is authentic. - A charge nurse is evaluating the documentation of care for four clients by
a newly licensed nurse.Which of the following entries requires intervention
by the charge nurse ANS Administered 10.0 u of insulin SQ to client for
elevated glucose level.
This entry requires intervention by the charge nurse for the use of unapproved
abbreviations (u, SQ), a trailing zero (10.0), and incomplete information including
type of insulin, how it was administered, and glucose level. - A charge nurse in a long-term care facility is reviewing message boards in
various client rooms. Which of the following information should the charge
nurse request one of the nurses remove from a client’s board ANS “Hospice
nurse visit at 1600″
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The charge nurse should request removal of any information concerning the
client’s medical diagnosis and/or treatment from message boards. HIPAA specifically prohibits posting a client’s private health information because this violates
the client’s right to confidentiality.
- A nurse is discussing delivery models of care with a group of newly
licensed nurses. Which of the following should the nurse include as an
example of the functional nursing model of care ANS Nurses are assigned
specifictasks to perform for each of the clients.
Nurses use a functional nursing model when assigning specific tasks to staff. This
approach places the focus on the task to be performed. - A nurse is monitoring an assistive personnel (AP) who is calculating
I&O for a postoperative client. The client has a Jackson-Pratt drain and an
indwelling urinary catheter. The nurse should recognize that the client’s
output is calculated and recorded correctly when the AP performs which of
the following actions ANS Includes emesis and wound drainage in the total
recordedoutput.