ATI RN Leadership Online Practice 2024 A with Q and A

ATI RN Leadership Online Practice 2024 A with Q and A A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority? A. a client who is scheduled for a tubal ligation in 2 hours and is crying B. A client who has peripheral vascular disease and has an absent pulse in the right foot C. A client who has type 1 diabetes and needs the first dressing change for an ulcer D. A client who has MRSA and has an axillary temperature of 100.4F ANSWER B. A client who has peripheral vascular disease and has an absent pulse in the right foot When using ABCs approach to client care, the nurse determines that the priority finding is an absent pulse, which indicates no blood flow to the extremity. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an AP? A. "Take vitals every 2 hours for the client who had a cholecystectomy in room 6122' B. "Check the urinary output at 1100 for John Doe and report it to me immediately" C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438" D. "Please notify me of any clients whose vital signs of blood glucose levels are significant" ANSWER B. "Check the urinary output at 1100 for John Doe and report it to me immediately" Follows the Five Rights of Delegation by including the requirements for right direction/communication: the data to collect, client-specific information, a timeline for collection, and the expectation for communicating the findings back to the nurse.