A nurse is assisting with the plan of care for a client who is postoperative. Which of the following interventions demonstrates interdisciplinary management of the client?
Reposition the client for pain relief.
Develop a client-specific nursing diagnosis.
Change the client's dressing every shift.
Collaborate with the respiratory therapist on pulmonary care.
The Correct Answer is D
A. Reposition the client for pain relief:
This is independent nursing care, not interdisciplinary.
B. Develop a client-specific nursing diagnosis:
This is part of the nursing process performed independently by nurses.
C. Change the client's dressing every shift:
This is a nursing intervention, not necessarily interdisciplinary unless specialized input is needed.
D. Collaborate with the respiratory therapist on pulmonary care:
Interdisciplinary care involves collaboration between different healthcare professionals; working with a respiratory therapist is an example.
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Related Questions
Correct Answer is B
Explanation
A. The client reports insomnia:
Insomnia is a common nonmotor symptom in Parkinson’s disease, but it is not immediately life-threatening and can be addressed after urgent concerns are handled.
B. The client has difficulty swallowing:
Dysphagia increases the risk for aspiration and airway obstruction, making it a high-priority finding. Airway compromise always takes precedence in care prioritization (ABC rule).
C. The client has increased difficulty dressing:
Dressing difficulty reflects worsening motor impairment, but it is not an urgent, life-threatening problem and can be addressed with supportive interventions.
D. The client requires additional help to stand:
This indicates decreased mobility and increased fall risk, but it is still a lower priority than airway safety concerns from difficulty swallowing.
Correct Answer is A
Explanation
A. A client who requires initial education about blood glucose monitoring:
Initial client teaching requires assessment, knowledge of the learning process, and evaluation - all of which are within the RN’s scope, not LPN or AP.
B. A client who requires an enteral feeding:
An LPN can safely administer an established enteral feeding, so this does not have to be reassigned to an RN.
C. A client who requires tracheostomy suctioning:
Tracheostomy suctioning of a stable patient is within the LPN’s scope of practice. Only unstable airway situations or assessment findings requiring intervention would necessitate an RN.
D. A client who requires irrigation of an indwelling urinary catheter:
LPNs are allowed to irrigate indwelling urinary catheters in most settings, so this task does not require RN reassignment.
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