A nurse in a provider's office is caring for four clients. The nurse should recommend an interdisciplinary conference for which of the following clients?
A client who has asthma and has a peak expiratory flow rate of 85%
A client who is receiving digoxin and has a heart rate of 98/min
A client who had a stroke and has dysphagia
A client who has sickle cell anemia and reports pain
The Correct Answer is C
A. A client who has asthma and has a peak expiratory flow rate of 85%:
A peak expiratory flow rate of 85% is within the green zone, indicating good control. This does not require an interdisciplinary conference.
B. A client who is receiving digoxin and has a heart rate of 98/min:
This is within normal limits for a client on digoxin; no immediate interdisciplinary intervention is needed.
C. A client who had a stroke and has dysphagia:
Dysphagia increases aspiration risk. An interdisciplinary conference involving nursing, speech therapy, dietetics, and the provider is needed to coordinate safe swallowing techniques, diet modifications, and ongoing care.
D. A client who has sickle cell anemia and reports pain:
Pain management is important, but this can usually be addressed by the nurse and provider without an interdisciplinary meeting unless pain is chronic and complex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Abdominal CT scan with contrast:
This is a diagnostic procedure that typically requires separate informed consent due to the use of contrast dye and potential risks.
B. Administration of 1 unit of fresh frozen plasma:
Blood product administration requires informed consent due to associated risks such as transfusion reactions.
C. Insertion of an NG tube to low intermittent suction:
This is a standard nursing/medical procedure performed as part of routine care for gastrointestinal conditions and is generally covered under general admission consent.
D. Esophagogastroduodenoscopy:
This is an invasive endoscopic procedure that requires separate, specific informed consent.
Correct Answer is D
Explanation
A. Notify the nurse manager of the medical-surgical unit of the incident:
This is appropriate for reporting the breach, but the immediate priority is to stop the ongoing violation.
B. Review HIPAA guidelines with the AP:
Education is important, but it should occur after the immediate breach has been stopped.
C. Submit a written statement regarding the incident to the risk manager:
This is part of follow-up reporting but is not the first priority in the moment.
D. Inform the AP that their conversation violates the client's privacy:
The nurse should first intervene directly to stop the HIPAA violation in progress, then address education and reporting.
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