which finding indicates a need to contact the health care provider before the nurse administers metformin glucophage

ATI RN

ATI Leadership Proctored Exam

1. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?

A. The patient�s blood glucose level is 174 mg/dL.
B. The patient has gained 2 lb (0.9 kg) since yesterday.
C. The patient is scheduled for a chest x-ray in an hour
D. The patient�s blood urea nitrogen (BUN) level is 52 mg/dL.

Correct answer: D

Rationale:

2. What is the primary goal of evidence-based practice (EBP)?

A. Reduce healthcare costs
B. Improve patient outcomes
C. Enhance clinical decision making
D. Ensure patient safety

Correct answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision making by integrating the best available evidence with clinical expertise and patient values. While improving patient outcomes is a significant result of EBP, the ultimate aim is to ensure that healthcare decisions are based on the most current, relevant, and reliable evidence. While reducing healthcare costs and ensuring patient safety are important in healthcare, they are not the primary goals of evidence-based practice.

3. What is the primary goal of discharge planning?

A. Reducing readmission rates
B. Improving patient outcomes
C. Ensuring continuity of care
D. Ensuring medication adherence

Correct answer: C

Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.

4. A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?

A. Satisficing
B. Routine
C. Adaptive
D. Rationalizing

Correct answer: A

Rationale: Satisficing is the correct decision-making strategy in this scenario. The nurse manager is not aiming for the best solution but rather choosing an alternative that is good enough given the circumstances of staff shortage. Choice B, Routine, does not apply here as the situation is not part of the manager's regular tasks. Choice C, Adaptive, involves adjusting to new conditions, which is not the primary focus in this scenario. Choice D, Rationalizing, does not fit as the decision made is more about finding an acceptable solution rather than justifying it.