ATI leadership practice A
A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial
... [Show More] bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take?
-Inform the client of the consequences of decreased cerebral circulation
-Initiate a mental health consultation to determine why the client refuses the surgery
-Discuss the client's concerns about having the surgery
-Provide the client with information on additional treatment options ANSWER: Discuss the client's concerns about having the surgery
A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a LTC facility. Which of the following actions should the team take to evaluate the effectiveness of the plan?
-Compare data from clients' records regarding skin integrity with established criteria
-Measure staff attendance at an educational program on managing pressure injuries
-Interview clients regarding their satisfaction with their care
-Monitor use of supplies used to prevent pressure injuries ANSWER: Compare data from clients' regarding skin integrity with established criteria
A nurse asks a newly hired assistive personnel to remove a client's indwelling catheter. Which of the following actions should the nurse take to ensure they are qualified to perform this task?
-Show them how to remove an indwelling catheter
-Review their skill competency checklist
-Ask them if they know how to remove an indwelling catheter
-Pair the newly hired AP with an experienced AP ANSWER: Review their skill competency checklist
A nurse is caring for 4 clients. Which of the following assessment findings is the priority?
-A client who has facial drooping following a stroke 8hrs ago
-A client who has a femur fracture and reports feeling short of breath
-A client who had an appendectomy 12hr ago and reports pain as 5
-A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing ANSWER: A client who has a femur fracture and reports feeling short of breath
A home health nurse is planning her daily visits and receives labs for 4 clients. The nurse should first visit the client who has which of the following labs?
-Digoxin 1.0 ng/mL
-WBC 6,000
-Platelets 100,000
-Serum potassium 4.0 ANSWER: Platelets 100,000 (answered wrong, put dig)
A nurse is assigning care for 4 clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel?
-Instruct a client how to take their BP
-Administer subcutaneous medications to a client
-Determine a client's I/O
-Provide a status update to a client's family member ANSWER: Determine a client's I/O [Show Less]