A nurse in prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
A client who is 37wks gestation and has an L/S ratio of 2:1
A client who is 28wks gestation and has a negative Coombs's titer
A client who is at 39wks gestation and has a negative contraction stress test
A client who is at 35wks gestation and has a biophysical profile of 6
The Correct Answer is D
a. L/S ratio of 2:1 at 37 weeks gestation indicates fetal lung maturity, requiring monitoring but not necessarily immediate interdisciplinary care.
b. Negative Coombs's titer at 28 weeks gestation suggests Rh incompatibility, which may require monitoring but is not an immediate indication for interdisciplinary care.
c. Negative contraction stress test at 39 weeks gestation indicates a lower likelihood of uteroplacental insufficiency but does not necessarily warrant interdisciplinary care.
d. A biophysical profile score of 6 at 35 weeks gestation suggests potential fetal compromise and may require interdisciplinary care to assess and manage the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
- Choice A: Accompanying a client who just had a wound debridement to physical therapy.
- Rationale: This task involves monitoring the client's status during transport and potentially during the therapy session, which is within the scope of practice for an RN due to the recent surgical procedure and the need for assessment skills.
- Choice B: Obtaining a urine specimen from an older adult client.
- Rationale: While an LPN can perform this task, it is more appropriate for assistive personnel to carry out under the supervision of an RN or LPN, as it does not require the advanced skills of an LPN.
- Choice C: Providing postmortem care for a client who just died.
- Rationale: Postmortem care can be performed by an LPN or assistive personnel. However, it does not require the clinical judgment or advanced skills of an LPN, making it a task that could be delegated to assistive personnel.
- Choice D: Reinforcing dietary teaching with a client who has heart disease.
- Rationale: This task requires an understanding of disease processes and the ability to educate clients, which are within the scope of practice for an LPN. It is a suitable task to delegate to an LPN, who can reinforce teaching initiated by an RN.
Correct Answer is C
Explanation
a. While it may be helpful for the family to understand how the client is being cared for, it is not directly related to the nurse's assessment before delegating care to assistive personnel.
b. The AP's ability to change the client's central IV-line dressing is important but not directly related to the nurse's assessment before delegating bathing and turning care.
c. Before delegating care, the nurse should ensure that data has been collected about the client's specific needs related to turning, such as any skin issues, pressure ulcer risk, comfort level, and mobility restrictions.
d.Checking the client's pain level is important, but it is a task that the AP can perform as part of the delegated care and does not necessarily need to be assessed by the nurse before delegating the task.
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