*NURSING > EXAM PROCTORED > Pharmacology ATI Proctored Exam Detailed Answer Key _Cloned_Assessment 1. 2020. Contains 100 verifie (All)
1. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain t... he client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse? A. Invasion of privacy Rationale: Invasion of privacy is defined as failure to respect a client’s right to manage their own affairs. This situation does not describe invasion of privacy. B. Assault Rationale: Assault is defined as threatening to inflict injury on a client or an attempt to do harm. This situation does not describe assault. C. Battery Rationale: Battery is defined as intentionally touching a client without her consent. This situation does not describe battery. D. False imprisonment Rationale: False imprisonment is detaining a client against her will to seek freedom. The client has the right to refuse treatment against medical advice and leave the hospital. 2. An assistive personnel (AP) reports a client’s vital signs as tympanic temperature 37.1° C (98.8° F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? A. BP Rationale: A nurse who is supervising an AP's work is accountable for the work that the AP completes. Therefore, the nurse should verify anything that seems unusual. The BP the AP reported is low; therefore, the nurse should verify that this result is accurate before taking any other actions. B. Respiratory rate Rationale: This respiratory rate is within the expected reference range. Unless it deviates markedly from the client’s usual readings, the nurse need not take any action at this time. C. Pulse rate Rationale: This pulse rate is within the expected reference range. Unless it deviates markedly from the client’s usual readings, the nurse need not take any action at this time. D. Temperature Rationale: This temperature reading is within the expected reference range. Unless it deviates markedly from the client’s usual readings, the nurse need not take any action at this time. [Show More]
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