ATI Proctored Leadership Practice B/ Questions & Answers/Latest A+Guide Solution

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A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following clients should the nurse request the provider assess first? -A client who has a closed leg fractu... re and reports peripheral paresthesia -A client who reports a sprained ankle and has a laceration over the medial ankle -A client who has arm contusions and manifests asymmetrical thoracic movement -A client who has abrasions to the face and is requesting medication for severe pain (ANS- A client who has arm contusions and manifests asymmetrical thoracic movement A client who has asymmetry of the thorax likely has a tension pneumothorax and requires immediate intervention for survival; therefore, when using the survival approach to client care, the nurse should request the provider to assess this client first. A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hrs. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? -Have the client sign the AMAM form -Inform the client about the risks she may encounter by leaving the facility -Document the client's statements in the medical record -Notify the risk manager (ANS- Inform the client about the risks she may encounter by leaving the facility The greatest risk to this client is injury from peritonitis; therefore, the first action the nurse should take is to inform the client about the risks of not receiving treatment. A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching? -Critical pathways promote individualized care -Critical pathways decrease administrative work time -Critical pathways prevent unnecessary expense -Critical pathways incorporate provider preferences (ANS- Critical pathways prevent unnecessary expense Nurses use critical pathways to implement evidence-based strategies and promote cost-effective care for clients who have a specific, common diagnosis. A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health record. Which of the following actions should the nurse take to validate that the client understands the procedure? -Review documentation by the provider of discussing the procedure with the client -Verify that the client's signature is on the informed consent form -Ask the client to verbalize the purpose, risks, and benefits of the procedure -Document the client's completed pre-procedure checklist in the medical record (ANS- Ask the client to verbalize the purpose, risks, and benefits of the procedure The client understands the procedure when he can verbalize the purpose, risks, and benefits of the procedure. A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? -Check client satisfaction surveys for feedback on this issue -Post an article on pain assessment on the bulletin board -Document this finding on an incident report -Report this issue to the nurse manager (ANS- Report this issue to the nurse manager The nurse should report this issue to the nurse manager because it is the manager's responsibility to ensure that standards are met and that care is provided according to policy. A client is being discharged with a post-op infection, requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? -Assess the client's home environment for possible reservoirs of infection -Verify the patency of the PICC line -Provide dressing change and wound assessment teaching -Ensure home infusion therapy has been arranged (ANS- Ensure that home infusion therapy has been arranged It is the case manager's responsibility to ensure that all necessary referrals have been made to facilitate the client's transition to home care. [Show More]

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