ATI Nurse Logic: Knowledge and Clinical Judgement

A nurse preceptor is orienting a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates a breach of confidentiality and requires intervention by the nurse preceptor? Discussing changes in a client's plan of care with his friend who is a nurse on another unit While collecting data on a client who is immobile, a nurse locates a reddened area of skin on the left scapula. Which of the following actions should the nurse take? Cover the area with a transparent wound barrier A nurse is providing discharge education to the parents of a preschooler who is prescribed acetaminophen (Tylenol) 300 mg every 4 hr as needed. The acetaminophen liquid suspension that has been prescribed provides 120 mg/5 mL. How many teaspoons should the nurse teach the parents to administer per dose? 2.5 tsp A nurse is collecting data on a recently admitted client. Which of the following techniques should the nurse use to measure tissue perfusion? Obtaining the client's level of oxygen saturation A nurse is caring for a client who is scheduled for cardiac surgery and tells the nurse, "I don't think I'm going to have the surgery. Everybody has to die sometime." Which of the following responses by the nurse is appropriate? "Tell me more about your concerns."