What is the primary goal of infection control practices in h...

A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?

A. Activate the emergency fire alarm.
B. Extinguish the fire.
C. Evacuate the client.
D. Confine the fire.

Correct Answer: D

Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.

When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

A. Position the client in a side-lying position.
B. Perform the irrigation using a 20-mL syringe.
C. Instill 15 mL of irrigation fluid into the catheter with each flush.
D. Measure and record the amount of irrigant used.

Correct Answer: B

Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.

A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.

Through which of the following methods are values learned?

A. Reading books
B. Formal degrees
C. Continuous reinforcement
D. Meeting diverse individuals

Correct Answer: C

Rationale: The correct answer is C: Continuous reinforcement. Values are typically learned through consistent reinforcement of behavior that aligns with those values. This reinforcement can come from various sources such as parents, teachers, peers, and societal norms. Continuous reinforcement ensures that the values are internalized and become part of one's belief system.

A: Reading books may expose individuals to different perspectives and values, but values are primarily learned through experiential and interpersonal interactions rather than just reading.

B: Formal degrees may provide education and knowledge but do not guarantee the internalization of values. Values are often shaped through personal experiences and interactions rather than academic qualifications.

D: Meeting diverse individuals can broaden one's perspective and expose them to different values, but values are not solely learned through interaction with others. Continuous reinforcement plays a more crucial role in internalizing values.

A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?

A. Oral presentations
B. Email exchanges
C. Written reports
D. Group discussions

Correct Answer: C

Rationale: The correct answer is C: Written reports. In the nominal group technique, participants individually write down their ideas or suggestions on a given topic. These written reports are then collected and synthesized by the facilitator, ensuring each participant's input is considered equally. This method allows for unbiased aggregation of ideas and prevents dominant individuals from influencing the group. Oral presentations (A) may lead to groupthink, email exchanges (B) lack real-time interaction, and group discussions (D) may result in unequal participation. Written reports ensure all ideas are heard and valued, making it the primary method of exchange in this technique.

A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?

A. Place the client in high-Fowler's position.
B. Increase the client's intake of carbohydrates.
C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
D. Have the client use a trapeze bar when changing position

Correct Answer: B

Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for skin health and wound healing. Carbohydrates provide energy for the body's healing processes. Skin breakdown can be prevented by ensuring the client has a well-balanced diet.

A: Placing the client in high-Fowler's position is not directly related to preventing skin breakdown in this scenario.
C: Massaging areas of skin that are darker than the surrounding skin tissue with lotion may cause more harm than good, as it can increase the risk of skin breakdown.
D: Having the client use a trapeze bar when changing position is important for mobility but does not directly address the prevention of skin breakdown.

ATI Leadership Practice B

ATI Leadership Practice B Related

Correct Answer: C

You may also like to solve these questions

Correct Answer: D

Correct Answer: B

Correct Answer: C

Correct Answer: C

Correct Answer: B