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. Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B. Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C. Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D. Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.
Correct Answer is D
Explanation
A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.
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