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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Inform the charge nurse:
The client is not competent to give informed consent after receiving sedation. The nurse should inform the charge nurse and delay obtaining consent until the client is fully alert and capable of understanding.

B. Obtain consent from a family member:
This is only appropriate if the client is legally incapable of giving consent and has a legal representative or healthcare proxy.

C. Wake the client and ask them to sign the form:
Even if awake, sedation impairs decision-making capacity; consent obtained at this time would not be legally valid.

D. Send the client for the test with the unsigned form:
The procedure should not proceed without valid informed consent.

A. Perform sterile dressing changes. B. Help the client complete the dietary menu. C. Ask the client about allergies. D. Demonstrate the use of crutches.

Correct Answer is B

Explanation

A. Perform sterile dressing changes:
This is a sterile procedure and requires nursing skill; it cannot be delegated to APs.

B. Help the client complete the dietary menu:
Assisting with menu selection is within an AP’s scope of practice and does not require nursing judgment.

C. Ask the client about allergies:
Collecting health history is the nurse’s responsibility, not the AP’s.

D. Demonstrate the use of crutches:
Teaching and demonstrating require nursing knowledge and assessment skills and cannot be delegated to APs.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for an invasive procedure that requires consent. When the nurse arrives at the bedside to obtain the client's signature they find that the client is asleep after receiving a sedative. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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