A nurse in prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
A client who is 37wks gestation and has an L/S ratio of 2:1
A client who is 28wks gestation and has a negative Coombs's titer
A client who is at 39wks gestation and has a negative contraction stress test
A client who is at 35wks gestation and has a biophysical profile of 6
The Correct Answer is D
a. L/S ratio of 2:1 at 37 weeks gestation indicates fetal lung maturity, requiring monitoring but not necessarily immediate interdisciplinary care.
b. Negative Coombs's titer at 28 weeks gestation suggests Rh incompatibility, which may require monitoring but is not an immediate indication for interdisciplinary care.
c. Negative contraction stress test at 39 weeks gestation indicates a lower likelihood of uteroplacental insufficiency but does not necessarily warrant interdisciplinary care.
d. A biophysical profile score of 6 at 35 weeks gestation suggests potential fetal compromise and may require interdisciplinary care to assess and manage the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Reviewing current literature is important but is not the initial step in addressing the immediate problem of increased falls.
b. Implementing a fall prevention plan is crucial, but first, the nurse needs to identify which clients are at risk to tailor the plan effectively.
c. Identifying clients who are at risk for falls is the initial step to understand the scope and nature of the problem.
d. Notifying staff of the increased fall rate is important but should occur after identifying at-risk clients and implementing preventive measures.
Correct Answer is A
Explanation
- Rationale for A: Closing the documentation program immediately ensures that no further unauthorized viewing of the client's medical information occurs. It is the most direct action to protect the client's confidentiality and should be the nurse's first priority in this situation.
- Rationale for B: While it is important to identify the staff member responsible for leaving sensitive information accessible, it is not the first action that should be taken. The immediate risk to patient confidentiality must be addressed before investigating the cause.
- Rationale for C: Notifying the charge nurse is an appropriate step, but it is not the first action to take. The priority is to stop the unauthorized access before reporting the incident.
- Rationale for D: Informing the visitor about the confidentiality of client records is important, but it should follow the immediate action of securing the information. Once the information is secure, the nurse can then address the visitor's behavior.
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