A nurse is assisting with the plan of care for a group of clients. Which of the following clients should the nurse recommend for an Interprofessional conference?
A client who has a spinal cord injury
A client who has a torn rotator cuff
A client who has acute appendicitis
A client who has a urinary tract infection
The Correct Answer is A
Choice A Reason:
A client who has a spinal cord injury is correct. An interprofessional conference is often recommended for clients with complex and multifaceted health issues that require collaboration among various healthcare disciplines. A client with a spinal cord injury typically has complex care needs that involve multiple healthcare professionals, such as physical therapists, occupational therapists, social workers, nurses, and possibly surgeons or neurologists. The coordination of care for a client with a spinal cord injury often requires input and collaboration from various healthcare team members, making an interprofessional conference valuable.
Choice B Reason:
A torn rotator cuff may require physical therapy and orthopedic consultation but may not require the same level of multidisciplinary collaboration as a spinal cord injury.
Choice C Reason:
Acute appendicitis typically involves surgical intervention but may not require the same degree of ongoing interprofessional collaboration as other complex conditions.
Choice D Reason:
A urinary tract infection is a common and relatively straightforward condition that is usually managed by nurses and primary care providers without extensive interprofessional conferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C, "You can begin collection of urine after discarding your first morning void."
A 24-hour creatinine clearance test is used to evaluate how well the kidneys are functioning by measuring the amount of creatinine in the blood and urine over a 24-hour period. During the test, the client is asked to discard their first morning void and then collect all urine for the next 24 hours.
Option A is incorrect because a protein-rich diet can affect the creatinine levels in the urine, which can result in inaccurate test results. Therefore, the nurse should advise the client to avoid a protein-rich diet during the collection period.
Option B is incorrect because blood glucose levels are not relevant to a 24-hour creatinine clearance test. Therefore, the nurse should not ask the client to record their blood glucose level each time they void.
Option D is incorrect because using an antiseptic towel to cleanse the perineal area can also affect the test results by introducing contaminants into the urine sample. Therefore, the nurse should advise the client to cleanse the perineal area with soap and water or an alcohol wipe.
Correct Answer is B
Explanation
Choice A Reason:
Telling the client to discuss the decision with her family implies that the family should influence or make the decision for the client. The decision to continue or discontinue treatment is a personal one that the client should make based on their own values and preferences.
Choice B Reason:
Supporting the client's decision to stop the treatment is correct. When a client with end-stage kidney disease decides to stop dialysis treatment, it's essential for the nurse to respect the client's autonomy and support their decision. The client has the right to make decisions about their own healthcare, including the decision to discontinue a treatment that is no longer aligned with their goals and wishes.
Choice C Reason:
Discussing alternative treatment methods may be appropriate in some cases, but if the client has made an informed decision to stop dialysis, the focus should be on respecting and supporting that decision rather than presenting alternatives.
Choice D Reason:
Involving the facility chaplain may be beneficial if the client desires spiritual or emotional support during this difficult decision-making process, but it should be at the client's request, not imposed by the nurse.
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