A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference?

A client who had surgery for cataract removal and lives in a rural location

A client who has hemiparesis and lives alone

A client who requires assistance to pay for dressing supplies

A client who requires instruction regarding medication administration

Answer and Explanation

The Correct Answer is B

A. Incorrect. While living in a rural location may present challenges, cataract surgery typically does not require an interdisciplinary care conference unless there are significant complicating factors.
B. Correct. A client who has hemiparesis and lives alone likely requires coordination of care from multiple disciplines to address safety concerns, functional limitations, and support needs. C. Incorrect. While assistance with dressing supplies may require coordination with social services or financial assistance programs, it does not necessarily warrant an interdisciplinary care conference.
D. Incorrect. While medication administration instructions are important, they can typically be addressed by the nursing staff without requiring an interdisciplinary care conference.

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Correct Answer is A

Explanation

A. Verifying the identity of anyone who wants to remove the baby from the room is crucial for ensuring the security and safety of the newborn. This helps prevent unauthorized individuals from taking the baby without proper authorization from the parents or healthcare staff.
B. Leaving the baby unattended in the room while the parent walks in the hallway can pose a safety risk, as the newborn should always be under supervision to prevent accidents or unauthorized access.
C. Newborns typically wear identification bands on both wrists to ensure accurate identification and prevent mix-ups in the hospital setting. Placing identification bands on other body parts may lead to confusion.
D. Leaving the unit with the baby without notifying the nurse can compromise the security measures in place and may lead to confusion or concern among hospital staff regarding the whereabouts of the newborn. It's important to communicate with healthcare providers before leaving the unit with the baby.

A. The client's foot feels cooler than in the previous assessment. B. The client's pedal pulse in the right foot is not palpable. C. The client's capillary refill time is 5 seconds in the toes. D. The client reports a pain level of 8 on a scale from 0 to 10.

Correct Answer is B

Explanation

A. While a cooler foot than in the previous assessment may indicate decreased perfusion, the absence of a palpable pedal pulse is a more significant finding as it suggests compromised arterial blood flow to the foot.
B. The absence of a palpable pedal pulse indicates diminished arterial blood flow to the foot, which is a critical finding following a femoropopliteal bypass graft. It suggests potential complications such as graft occlusion or inadequate blood flow distal to the graft site.
C. Capillary refill time of 5 seconds in the toes may indicate delayed capillary refill, which could be a concern but is not as immediately critical as the absence of a palpable pedal pulse.

D. While pain is an important assessment finding, a pain level of 8 on a scale from 0 to 10 is subjective and does not provide specific information about the client's vascular status. Pain assessment should be considered along with other objective findings.

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A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse?

Correct Answer is B

Explanation

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