ATI PN Real Life Scenario 3.0; Adult Medical Surgical; Pneumonia (With complete solution)
Pam receives a phone report from Monica and Dr. Kim's office. Pam should ask for more information of the following on which of the following aspects of the SBAR report? correct answers Assessment
The nurse did not include the client's vital signs, pain scale, or change in the client's prior status which are components of the assessment portion of the SBAR report
Pam is preparing for Ms. Goodman's admission. Which of the following action should Pam take?
correct answers Obtain oxygen equipment for the clients room. A client who has pneumonia will require supplemental oxygen; therefore it is necessary to have oxygen equipment available for the client upon admission.
Pam is preparing to position Ms. Goodman in the bed. Which of the following positions should Pam use? correct answers Semi- Fowler's
A client who has pneumonia may have limited gas exchange in ineffective airway clearance; therefore, using semi Fowler's position will promote lung expansion and improve oxygenation
Pam reviews the medication administration record. Which of the following medication should Ms. Goodman receive at this time? correct answers Acetaminophen (Tylenol)
The clients temperature is 101.8°F; therefore it is appropriate for the nurse to administer an anti-
pyretic at this time.
Ms. Goodman tells Pam that she is concerned about her ability to regain her usual activity level if she is on bed rest. Which of the following is an appropriate response? correct answers "It sounds as if you were concerned about your recovery."
The nurse is using a therapeutic response of reflection which clarifies the thoughts the client is expressing.
Ms. Goodman informs Pam that she is afraid of losing her job because of the hospitalization. Which of the following statements by Pam would be an appropriate response? correct answers "What can I do to help?"
The nurse is using therapeutic communication of offering one's self and allows the client expressed concerns about her current condition.
Jane, the RN is concerned about the client's prescription for Acetaminophen (Tylenol) for fever. Which of the following medication to the nurse administer with caution due to the potential for medication interaction? correct answers Hydrocodone (Norco)
Pam receives a phone report from Monica and Dr. Kim's office. Pam should ask for more information of the following on which of the following aspects of the SBAR report? correct answers Assessment
The nurse did not include the client's vital signs, pain scale, or change in the client's prior status which are components of the assessment portion of the SBAR report
Pam is preparing for Ms. Goodman's admission. Which of the following action should Pam take?
correct answers Obtain oxygen equipment for the clients room. A client who has pneumonia will require supplemental oxygen; therefore it is necessary to have oxygen equipment available for the client upon admission.
Pam is preparing to position Ms. Goodman in the bed. Which of the following positions should Pam use? correct answers Semi- Fowler's
A client who has pneumonia may have limited gas exchange in ineffective airway clearance; therefore, using semi Fowler's position will promote lung expansion and improve oxygenation
Pam reviews the medication administration record. Which of the following medication should Ms. Goodman receive at this time? correct answers Acetaminophen (Tylenol)
The clients temperature is 101.8°F; therefore it is appropriate for the nurse to administer an anti-
pyretic at this time.
Ms. Goodman tells Pam that she is concerned about her ability to regain her usual activity level if she is on bed rest. Which of the following is an appropriate response? correct answers "It sounds as if you were concerned about your recovery."
The nurse is using a therapeutic response of reflection which clarifies the thoughts the client is expressing.
Ms. Goodman informs Pam that she is afraid of losing her job because of the hospitalization. Which of the following statements by Pam would be an appropriate response? correct answers "What can I do to help?"
The nurse is using therapeutic communication of offering one's self and allows the client expressed concerns about her current condition.
Jane, the RN is concerned about the client's prescription for Acetaminophen (Tylenol) for fever. Which of the following medication to the nurse administer with caution due to the potential for medication interaction? correct answers Hydrocodone (Norco)
