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. Management of Type 1 diabetes with an insulin pump usually involves ongoing monitoring and adjustments but may not necessarily warrant an immediate interdisciplinary conference.
B. This client has a notable risk for pressure ulcers due to the albumin level, necessitating an interdisciplinary approach to prevent or manage these ulcers.
C. While monitoring heparin therapy is crucial, an aPTT of 34 seconds is within the therapeutic range and may not require an urgent interdisciplinary conference.
D. Orthostatic hypotension being managed with IV fluids may need ongoing assessment, but it may not warrant an immediate interdisciplinary conference.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.
Correct Answer is ["A","C","E"]
Explanation
A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.
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