A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
A client who has Type 1 diabetes and uses an insulin pump
A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dl
A client who is receiving heparin and has an aPTT of 34 seconds
A client who has orthostatic hypotension and is receiving IV fluids
The Correct Answer is B
A. A client with Type 1 diabetes using an insulin pump requires ongoing coordination between nursing, endocrinology, pharmacy, and potentially nutrition services. Management involves insulin dosing adjustments, blood glucose monitoring strategies, device education, and lifestyle planning, making interdisciplinary collaboration essential.
B. An albumin level of 4.2 g/dL is normal, indicating adequate nutritional status. A pressure injury risk alone without additional complications does not require an interdisciplinary conference.
C. An aPTT of 34 seconds is within or near normal range depending on reference values, so there is no indication of urgent anticoagulation management requiring team coordination.
D. Orthostatic hypotension managed with IV fluids is typically addressed through routine medical and nursing management unless it becomes refractory or complicated, so it does not require a formal interdisciplinary conference.
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Related Questions
Correct Answer is A
Explanation
A. Asking the client's son to go to the waiting area allows the nurse to have a private conversation with the client, which is crucial in suspected cases of elder abuse to gather information without potential interference or intimidation.
B. Asking about injuries with the son present might hinder the client from disclosing information due to fear or pressure.
C. Treating and discharging the client without addressing the suspected elder abuse could potentially put the client in further danger.
D. Filing an incident report might be necessary but should follow an assessment and investigation of the situation.
Correct Answer is C
Explanation
- A: While resolving conflicts is important to maintain a healthy work environment, it may not immediately affect patient care and safety.
- B: Client preferences should be respected, but this situation can usually be resolved by reassigning staff without immediate risk to patient safety.
- C: Staff absences can critically impact patient care due to inadequate staffing, which can lead to increased workload for present staff and compromise patient care.
- D: Transport issues, although they need to be addressed, do not usually pose an immediate threat to patient safety compared to inadequate staffing. Physical therapy can often be rescheduled without significant harm to the patient.
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