ATI Priority Setting Framework (Beginning Test) (Answered) Verified Solution, With Rationale
2 views 0 purchase
Course
ATI
Institution
ATI
ATI - Priority Setting Framework (Beginning Test)
A nurse is collecting data on four clients. Which of the following is the highest priority finding by the nurse?
A) Malaise
B) Anorexia
C) Headache
D) Diarrhea
D) Diarrhea
Framework: ABCs
Diarrhea can deplete the body of fluids and cau...
ati priority setting framework beginning test a nurse is collecting data on four clients which of the following is the highest priority finding by the nurse a malaise b anorexia c headache d
Written for
ATI
All documents for this subject (8096)
Seller
Follow
LectDan
Reviews received
Content preview
ATI - Priority Setting Framework (Beginning Test)
A nurse is collecting data on four clients. Which of the following is the highest
priority finding by the nurse?
A) Malaise
B) Anorexia
C) Headache
D) Diarrhea
D) Diarrhea
Framework: ABCs
Diarrhea can deplete the body of fluids and cause a decrease in the circulating blood
volume.
A nurse in a rehabilitation facility has received report on four clients. Which of the
following should the nurse evaluate first?
A) A client who has peripheral vascular disease and reports numbness in the toes
B) client who has depression & is easily distracted
C) A client who has Alzheimer's disease and is unable to complete ADLS
D) A client who had abdominal surgery 10 days ago and reports feeling his
incision pop
D) A client who had abdominal surgery 10 days ago and reports feeling his incision pop
Framework: acute vs. chronic
Clients often report feeling the incision pop, indicating either dehiscence or evisceration
has occurred.
A nurses caring for an older adult client who recently experienced the death of
her partner. Which of the following is the priority need of the client?
A) establishing a sense of achievement
B) contributing to society
C) creating meaningful social relationships
D) enhancing self- confidence
C) Creating meaningful social relationships
Framework:
Maslows Hierarchy of needs
Social relationships are a component of friendship, which would be included in the 3rd
level.
A nurse is preparing to administer oral medication to a client who has unilateral
weakness following a cerebrovascular accident (CVA). Which of the following
should be the priority action of the nurse?
, A) Administer medications w/ meals when possible
B) Ensure client understanding of medication's effects
C) Determine the client's ability to self-administer meds
D) have the client position the head w/ chin down while swallowing
D) Have the client position the head with the chin down while swallowing
Framework: safety and risk reduction
Clients are at risk for aspiration following a CVA, and having the client position the head
with the chin down while swallowing reduces this risk.
A nurse is conducting therapeutic medication monitoring on four clients. Which
of the findings should be immediately reported to the provider?
A) Lithium carbonate 0.8 mmol/L
B) Digoxin 3.0 ng/mL
C) Peak serum gentamicin 6 mcg/mL
D) Magnesium sulfate 4 mEq/L
B) Digoxin 3.0 ng/mL
Framework: unstable vs. stable
This digoxin level is above the expected reference range and indicates digoxin toxicity
The therapeutic range for lithium has been established at 0.6 - 1.2 mmol/L.
Therapeutic serum digoxin levels range from 0.5-2 ng/mL.
Conventional dosing of gentamicin: Peak: 4-10 mcg/ml.
Magnesium sulfate therapeutic level of 3.5 to 7 mEq/L.
A nurses caring for a client who has a urinary track infection. The client is
disoriented and found wandering on another unit. Which of the following actions
should the nurse take first?
A) Ensure all 4 side rails are up.
B) Administer a prescribed sedative.
C) Place the client in soft wrist restraints
D) Move the client to a room near the nurses' station
D) Move the client to room near the nurses station
Framework: least restrictive, least invasive
Moving the client to a room near the nurses station allows for more frequent observation
and promotes client safety.
A nurse is reinforcing discharge teaching to a new mother regarding sudden
infant death syndrome (SIDS). Which of the following is the highest priority to
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.00. You're not tied to anything after your purchase.
