a nurse is using an open irrigation technique to irrigate a clients indwelling urinary catheter which of the following actions should the nurse take

ATI RN

ATI Leadership Practice B

1. When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

A. Position the client in a side-lying position.
B. Perform the irrigation using a 20-mL syringe.
C. Instill 15 mL of irrigation fluid into the catheter with each flush.
D. Measure and record the amount of irrigant used.

Correct answer: B

Rationale: When irrigating an indwelling urinary catheter, the nurse should use a 20-mL syringe for the procedure. This syringe size helps to provide adequate pressure for effective irrigation. Placing the client in a side-lying position is not necessary for this procedure. Instilling a specific amount of irrigation fluid into the catheter is not mentioned in the scenario. Subtracting the amount of irrigant used from the client's urine output is not a standard practice in catheter irrigation.

2. Which of the following is a potential benefit of social media?

A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
B. Connecting with clients to keep up with their health status
C. Connecting with the public to encourage healthy behaviors
D. Sharing pictures of interesting clinical experiences with friends

Correct answer: C

Rationale: The correct answer is C because connecting with the public to encourage healthy behaviors is a significant benefit of social media. It allows for the dissemination of valuable health information, promoting healthy habits, and raising awareness about important health issues. Choices A, B, and D are not as impactful as choice C in terms of promoting public health and healthy behaviors. Choice A focuses more on entertainment rather than health promotion, choice B is specific to client connections rather than public health initiatives, and choice D is more about sharing experiences rather than encouraging healthy behaviors.

3. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

A. Carefully assess and document client status.
B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
C. Keep careful notes while providing care to ensure accurate documentation later in the day.
D. Discuss safety needs with clients.

Correct answer: A

Rationale: The correct answer is A: Carefully assess and document client status. By carefully assessing and documenting the client's status, healthcare providers can ensure they have a clear understanding of the client's condition, needs, and any potential risks. This helps in providing appropriate care and avoiding situations that may lead to charges of negligence or false imprisonment. Choice B is incorrect because logging out of computer systems is more related to data security and confidentiality rather than preventing negligence or false imprisonment. Choice C is not directly related to avoiding charges of negligence and false imprisonment but rather ensuring accurate documentation. Choice D, while important for overall client safety, does not specifically address the issue of avoiding charges of negligence and false imprisonment for confused clients.

4. What is the main goal of a nursing quality improvement (QI) program?

A. To enhance patient safety
B. To reduce healthcare costs
C. To ensure regulatory compliance
D. To maintain high patient satisfaction

Correct answer: A

Rationale: The main goal of a nursing quality improvement (QI) program is to enhance patient safety. While reducing healthcare costs, ensuring regulatory compliance, and maintaining high patient satisfaction are important aspects of healthcare delivery, the primary focus of a QI program in nursing is to improve patient safety through practices such as error reduction, risk management, and enhancing the quality of care provided.

5. What are the final stages of the conflict process?

A. Antecedent conditions
B. Perceived and felt conflict
C. Suppression and resolution
D. Conflict behavior

Correct answer: C

Rationale: The final stages of the conflict process involve suppression and resolution. After conflicts have been perceived and felt, individuals and parties typically move towards suppressing the conflict (trying to avoid it) and ultimately resolving it. Antecedent conditions refer to factors that exist before conflict arises and do not represent the final stages. Conflict behavior relates to the actions taken during a conflict rather than its final stages.