ATI Nurse Logic 2.0 ~ Priority Setting Frameworks (Advanced Test)| Questions with 100% Correct Answers | Verified

A nurse is caring for a group of pediatric clients. Which of the following clients requires immediate intervention? A. A client who has cystic fibrosis and has a paroxysmal cough B. A client who is prescribed cromolyn sodium (Crolom) and has a peak expiratory flow rate of 79% C. A client who has celiac disease and abdominal distention D. A client who is prescribed digoxin (Lanoxin) and has had three episodes of vomiting - D. A client who is prescribed digoxin (Lanoxin) and has had three episodes of vomiting Rationale: A. Answering this item requires application of the acute versus chronic priority setting framework. Using this framework, acute needs are typically the priority need because they pose more of a threat to the client. Because chronic needs usually develop over a period of time, the client has more of an opportunity to adapt to the alteration in health. It is also important to attend to alterations when they are in the acute phase so they don't escalate into a life-threatening event or evolve into a chronic alteration in health. Nursing knowledge might also be needed to determine which option describes an acute need. A paroxysmal cough is a clinical manifestation associated with cystic fibrosis, which is a chronic condition. While the client should be further evaluated, there is another client who has more acute needs that requires immediate intervention. B. Answering this item requires application of the acute versus chronic priority setting framework. Using this framework, acute needs are typically the priority need because they pose more of a threat to the client. Because chronic needs usually develop over a period of time, the client has more of an opportunity to adapt to the alteration in health. It is also important to attend to alterations when they are in the acute phase so they don't escalate into a life-threatening event or evolve into a chronic alteration in health. Nursing knowledge might also be needed to determine which option describes an acute need. Cromolyn sodium is a nonsteroidal anti-inflammatory medication used as an asthma prophylactic. A peak expiratory flow rate of 79% is below the expected rate and signals the possibility that asthma is not well-controlled. While the client should be further evaluated, there is another client who has more acute needs that requires immediate intervention. C. Answering this item requires application of the acute versus chronic priority setting framework. Using this framework, acute needs are typically the priority need because they pose more of a threat to the client. Because chronic needs usually develop over a period of time, the client has more of an opportunity to adapt to the alteration in health. It is also important to attend to alterations when the