ATI MANAGEMENT ONLINE PRACTICE 2020 B REVISED.

A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should the nurse recommend for discharge? • A client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago RATIONALE: A client who had an appendectomy without complications is often discharged the day of or the day after surgery. The nurse should recommend this client for discharge because this client has a low risk for an adverse event. A nurse is assisting with triage following a mass casualty event. The nurse should recommend that which of the following clients be attended to first? • A client who has a crush injury to the pelvis and whose pedal pulse in the right foot is absent RATIONALE: A client who has a pelvic crush injury and an absent pulse to the lower extremity has an immediate threat to life and limb and requires emergent care for survival. When using the survival approach to client care, the nurse should give priority to this client. A nurse is contributing to the plan of care for a client who states he is a devout Hindu. To adhere to the client’s religious dietary practices, which of the following food options should the nurse offer to the client? • Yogurt RATIONALE: The nurse should offer yogurt as a food option for the client who is a devout Hindu because dairy products are believed to enhance spiritual purity. A nurse assisting with disaster triage is examining a client who has a large open would to the lower extremity. Which of the following actions should the nurse take? • Tell the client she should receive treatment within 2 hr. RATIONALE : When performing disaster triage, the nurse should assign clients who have a large, open wound to the yellow, or urgent category. This is the second-priority client category, and clients who are in this category should receive treatment after the emergent group, but within 30 min to 2 hr. A nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingo oophorectomy for the treatment of uterine cancer. The nurse should notify the provider for which of the following client statements? • "I wish I knew if there was another way to treat this other than surgery." RATIONALE : The nurse should contact the provider to clarify the procedure and other options with the client. It is the provider's responsibility to inform the client of any other treatment options. A nurse is planning to delegate care for a group of clients following change-of-shift report. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? • Applying bilateral sequential compression devices to a client's legs RATIONALE : The nurse should delegate applying sequential compression devices to an AP because this skill is used routinely in client care, creates minimal safety risk for the client, and is within the range of function for an AP. ................................................................................CONTINUED