advanced technology in health care such as integrated health records has allowed the nurse to do which of the following
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Nursing Elites

ATI RN

ATI Leadership Practice B

1. How has advanced technology in health care, such as integrated health records, benefited nurses?

Correct answer: D

Rationale: Advanced technology in health care, like integrated health records, has enabled nurses to efficiently track patients' vital signs. This capability helps nurses monitor patients' health status closely and make informed decisions regarding their care. Choices A, B, and C are incorrect because technology does not replace the vital role of nurses in conducting assessments, ordering medications (typically done by prescribers), or collecting blood samples.

2. Which of the following actions best demonstrates effective delegation by a nurse manager?

Correct answer: C

Rationale: The correct answer is C: Delegating tasks and providing oversight. Effective delegation by a nurse manager involves appropriately assigning tasks to others while also ensuring proper supervision and follow-up. This allows the nurse manager to distribute workload efficiently while maintaining accountability and quality of care. Choices A and D are incorrect as retaining all tasks or avoiding delegation can lead to burnout, inefficiency, and lack of skill development among team members. Choice B is incorrect as assigning tasks without supervision may result in errors, lack of clarity, and potential patient safety issues.

3. Which of the following should be included in a discussion of advance directives with new nurse graduates?

Correct answer: D

Rationale: One function of the advance directive is to appoint a health-care surrogate who will make known the client�s wishes for medical treatment to the medical and nursing team if the client is unable to do so.

4. A nurse manager is considering the variances of the budget. Fewer monies were spent than expected. What type of variance is this?

Correct answer: B

Rationale: The correct answer is B, favorable variance. When fewer funds are spent than expected, it indicates efficient budget management, making it a favorable outcome. Choice A, unfavorable variance, is incorrect as it would apply if more money than expected was spent. Choices C and D, dependent variance and independent variance, are unrelated terms in the context of budget variances and do not apply to the situation described.

5. A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?

Correct answer: C

Rationale: The most important finding to discuss with the healthcare provider is the decreased glomerular filtration rate. In patients on metformin therapy, monitoring kidney function is crucial as metformin is primarily excreted through the kidneys. A decreased glomerular filtration rate can lead to metformin accumulation in the body, increasing the risk of lactic acidosis, a serious adverse effect. The hemoglobin A1C level being 7.9% indicates poor diabetes control but can be addressed through medication adjustments and lifestyle modifications. The patient needing an eye exam after 18 months is important but not as urgent as discussing the decreased glomerular filtration rate. Patient questions about the prescribed diet can be addressed during the visit without the need for immediate healthcare provider intervention.

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