ATI Leadership Proctored Exam Review 2023

ATI Leadership Proctored Exam Review 2023 As a result of a third-degree sprain, arthroscopic surgery may be necessary Negligence - CORRECT ANSWER The nurse's conduct displayed negligence, which is providing client care below the standard of care and placing the client at risk for harm. Libel - CORRECT ANSWER The nurse who is libel uses untrue written communication Slander - CORRECT ANSWER The nurse who slanders uses the spoken word to harm another professional's reputation Battery - CORRECT ANSWER The nurse who uses battery touches a client without permission, which may cause embarrassment or injury Precipitous labor - CORRECT ANSWER Precipitous labor is defined as labor that lasts less than 3 hr from the onset of contractions to the time of birth Precipitous labor may result from hypertonic uterine contractions, which may increase the risk for placenta abruption precipitous labor include ( rapid labor) - CORRECT ANSWER The most important intervention is preventing injury to the infant during the delivery Fetal complications from precipitous labor include hypoxia caused by decreased periods of uterine relaxation between contraction A change in pressure from a rapid delivery of the fetal head may cause neurologic damage (increased intracranial pressure and dural/subdural tearing) Rapid birth also may cause maternal injury, such as vaginal or perineal lacerations Maternal complications - CORRECT ANSWER Maternal complications associated with a precipitous labor can include: uterine rupture, lacerations of the birth canal, and postpartum hemorrhage Applying perineal pressure as the fetal head is crowning may decrease maternal tearing and injury placental - CORRECT ANSWER If a precipitous labor results in emergency birth without the provider attending, the placenta can be left in place until the provider arrives The nurse should never tug on the cord Signs of placental separation include a slight gush of dark blood, lengthening of the cord, and change in the shape of the uterus. Risk for injury when working with clients who have a history of anger and aggression - CORRECT ANSWER Avoid wearing necklaces during client care is correct Know the layout of the facility is Provide immediate verbal feedback for escalating behavior Providing immediate verbal feedback for escalating behavior is an effective deescalation technique client who is experiencing a seizure - CORRECT ANSWER 1- Note time and call for help: 2- Calling for help will initiate additional team members to assist and is essential for client safety 3- Position client safely 4- Loosen restrictive clothing 5- Reorient and reassure client 6- Determining precipitating trigger client who is experiencing a seizure 1- Note time and call for help: 2- Calling for help will initiate additional team members to assist and is essential for client safety 3- Position client safely: 4- Loosen restrictive clothing 5- Reorient and reassure client 6- Determining precipitating trigger - CORRECT ANSWER 1- Note time and call for help: When a client experiences a seizure, noting the time is essential because it allows for accurate documentation that may aid the provider in caring for the client 2- Calling for help will initiate additional team members to assist and is essential for client safety The nurse should remain with the client during this time 3- Position client safely: - If the client is standing or sitting, assist the client to the floor and protect the head - If the client is in the bed, remove pillows and raise side rails Clearing the area promotes client safety Turning the client to the side is essential to allow secretions to drain from the mouth and to prevent aspiration or choking client who is experiencing a seizure - CORRECT ANSWER Provide client privacy during this time 4- Loosen restrictive clothing 5- Reorient and reassure client Continue to monitor the seizure (type of seizure; parts of body affected; loss of consciousness; presence of lip smacking, mastication, or grimacing; rolling of eyes; presence of incontinence; presence of apnea) Some clients may be confused As the client is regaining consciousness, the nurse should reorient the client, explain what happened, and provide reassurance to minimize anxiety 6- Determining precipitating trigger Client safety is the priority when caring for a client during a seizure episode client who is experiencing a seizure - CORRECT ANSWER Seizure precautions include placing the bed in the lowest position, ensuring oxygen and suctioning equipment are available, and placing a saline lock (especially if the client is at risk for a generalized tonic-clonic seizure) The practice of padding the side rails is currently controversial Side rails are rarely the source of significant injury, Padded side rails may embarrass the client and family, and could be considered a restraint Therefore, the agency policy regarding this practice must be followed