A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?

Social worker

Patient care technician

Psychologist

Advanced practice nurse

Answer and Explanation

The Correct Answer is D

The APN, also known as a nurse practitioner or clinical nurse specialist, has advanced knowledge and expertise in pharmacology and medication management. They are trained to assess medication interactions, evaluate potential risks, and provide guidance to ensure safe and effective medication use.

The other members of the interdisciplinary team listed are not specifically trained to address medication interactions:

Social worker: Social workers focus on addressing psychosocial aspects of care, such as emotional support, counseling, and resource coordination. While they may provide valuable assistance in various areas of the client's care, they typically do not have specialized knowledge in medication interactions.

Patient care technician: Patient care technicians, also known as nursing assistants or certified nursing assistants, provide direct patient care under the supervision of nurses. They do not typically have the training or authority to address medication interactions.
Psychologist: Psychologists specialize in the assessment, diagnosis, and treatment of mental and emotional health concerns. While they may be involved in the client's overall care, including medication management for mental health conditions, their expertise lies primarily in psychological assessment and therapy rather than medication interactions.

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Correct Answer is C

Explanation

Tell the APS to stop the conversation.

Respecting and maintaining client confidentiality are an essential ethical and legal responsibility for healthcare professionals. When a nurse overhears APs discussing a client's information inappropriately, it is important to intervene and address the situation to protect the client's privacy. Option C, telling the APs to stop the conversation, is the appropriate initial action to take.

informing the client of the APs' actions in (option A), may not be necessary or appropriate unless the client's participation or consent is required due to the nature of the conversation or potential harm caused.

submitting an incident report to the risk manager in (option B), might be considered if the incident is significant or if the inappropriate conversation continues despite intervention. Incident reports are often used to document and address any potential breaches of client confidentiality.

documenting the event in the client's progress notes in (option D), may not be the primary action to take in this situation. While documentation of the incident may be necessary, addressing and stopping the inappropriate conversation should be the immediate priority.

In summary, when a nurse overhears APs discussing a client, the nurse should first intervene and tell the APs to stop the conversation to protect the client's confidentiality and privacy. Further actions, such as submitting an incident report or documenting the event, may be appropriate depending on the severity and ongoing nature of the situation.

A. Locks the wheels on the client's bed B. Clears furniture from the path leading to the bathroom C. Assists the client to the bathroom every 2 hr D. Raises all four side-rails on the client's bed

Correct Answer is D

Explanation

The nurse should intervene when the AP raises all four side rails on the client's bed. While it is important to ensure the client's safety and minimize the risk of falls, raising all four side rails can be considered a restraint and may not be the best practice for fall prevention. The use of physical restraints, including all four side rails, can lead to adverse outcomes such as entrapment, increased agitation, and decreased mobility.

A. Locking the wheels on the client's bed: This is an appropriate action to prevent the bed from rolling and ensure stability.

B. Clearing furniture from the path leading to the bathroom: This is a good practice as it creates a clear and safe path for the client to walk without obstacles.

C. Assisting the client to the bathroom every 2 hours: This is a proactive measure to prevent falls by ensuring regular toileting and minimizing the need for the client to get up and move independently.

It's important to promote mobility and independence for the client while ensuring their safety.

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A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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