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 D

Explanation

Ensure that the client has given informed consent.

Obtaining informed consent is a critical step before any medical procedure. It ensures that the client understands the nature of the procedure, its risks, benefits, and alternatives, and voluntarily consents to it. It is essential to ensure that the client has given their informed consent before proceeding with the EGD.

The other options do not directly pertain to the EGD procedure:

- Administering an oral contrast solution is typically not part of the preparation for an EGD.

- Informing the client about the duration of the procedure is important for the client's understanding, but it is not the primary action for the nurse to take.

- Ensuring that the client's bladder is full is not a standard preparation for an EGD.

A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min B. A client who has a urinary output of 30 mL in the past hour C. A client who is newly admitted and requires an admission assessment D. A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning

Correct Answer is B

Explanation

A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min likely requires closer monitoring and assessment of respiratory status. This may be more suitable for a registered nurse (RN), especially considering the potential for respiratory complications postoperatively. nd dietary considerations.

B.A client with a urinary output of 30 mL in the past hour may require assessment and intervention related to urinary function. While this may not necessarily require the expertise of an RN, it may be within the scope of practice for an LPN to monitor urinary output and report findings to the RN.

Option C, a newly admitted client requiring an admission assessment, should also be assigned to an RN, as this involves a comprehensive assessment that may require identifying potential risks and initiating appropriate interventions.

D. A client with a new diagnosis of diabetes mellitus awaiting teaching about meal planning may benefit from education provided by an RN or a certified diabetes educator (CDE) due to the complexity of diabetes management and the need for individualized teaching.

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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

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