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
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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Related Questions
Correct Answer is D
Explanation
A. Washing the newborn's head under a stream of running water is not recommended, as it could startle the newborn or lead to water entering the ears or eyes. Instead, the head should be washed gently using a damp cloth or sponge.
B. Bathing the newborn within 30 minutes after a feeding is not advisable. This could increase the risk of regurgitation or discomfort during the bath. It is better to bathe the newborn when they are calm and not immediately after feeding.
C. Starting the bath by washing the diaper area first is incorrect. The newborn’s face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.
D. The bath water should be 100 to 103 degrees Fahrenheit, as this is a safe and comfortable temperature for the newborn. It prevents chilling or burns and ensures the bath is soothing for the baby.
Correct Answer is B
Explanation
A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as
preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.
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