ATI - Priority Setting Framework (Beginning Test)

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?