A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?
Request the consultation after several wound care treatments are tried.
Provide the consultant with subjective opinions and beliefs about the client's wound care.
Arrange for the wound care specialist to see the client daily.
Schedule the consultation at a time when the nurse caring for the client can attend.
The Correct Answer is D
A. Requesting a consultation only after several treatments may delay appropriate care. Consults should be made promptly based on the client's needs.
B. Providing subjective opinions and beliefs is inappropriate; objective, factual information about the client’s condition and treatment should be shared with the consultant.
C. Daily visits by the wound care specialist may not be necessary and could strain resources; a consult should focus on evaluating and advising rather than ongoing daily visits.
D. Scheduling the consultation at a time when the nurse caring for the client can attend ensures continuity of care and allows the nurse to discuss the client's condition and treatment plan directly with the specialist.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While notifying the provider is important, it should not be the first action taken. The priority is to assess the client's condition to determine if there are any immediate effects from the additional medication dose.
B. Completing an incident report is necessary but comes after assessing the client’s condition.
C. Informing the nursing supervisor is important for documentation and support but should follow the assessment of the client.
D. Observing the client's condition is the most critical first step. This ensures that the nurse can identify any potential adverse effects from the additional dose and provide necessary interventions promptly.
Correct Answer is D
Explanation
A. Restraints should be tied using a quick-release knot, not a square knot. A quick-release knot allows for easy removal in emergencies.
B. A provider cannot write a prescription for restraints "as needed" because restraints must be prescribed for a specific duration and reason, ensuring they are used safely and appropriately.
C. Restraints should be removed as soon as they are no longer necessary, typically every 2 hours, not every 4 hours, to ensure the client's comfort and safety.
D. Restraints should always be secured to a part of the bed frame that moves with the client’s position. This prevents excessive tightening or loosening of the restraint, which could cause injury or compromise circulation. Restraints should never be tied to side rails, as this can lead to serious harm if the rails are moved.
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