A nurse is caring for four clients.
For which of the following clients should the nurse recommend an interprofessional client care conference?
A client who has a new colostomy and avoids discussion of colostomy care.
A client who has bacterial pneumonia and is receiving intravenous antibiotics.
A client who postpones a surgical procedure until completing more diagnostic tests.
A client who has a positive tuberculin skin test and a negative chest x-ray.
The Correct Answer is A
Choice A rationale
A client with a new colostomy avoiding discussion of care may experience psychological distress, such as denial or anxiety, impacting recovery. Interprofessional conferences address emotional and practical needs collaboratively, ensuring comprehensive care planning for improved client adaptation.
Choice B rationale
A client with bacterial pneumonia receiving IV antibiotics typically follows a clear treatment plan. Their condition does not require further interprofessional intervention unless complications arise. Routine care and monitoring suffice for this predictable treatment trajectory.
Choice C rationale
Postponing surgery for diagnostic tests reflects informed decision-making and does not necessitate interprofessional conferences. This autonomy indicates the client is actively participating in their care decisions, which are progressing without barriers requiring team discussion.
Choice D rationale
A positive tuberculin skin test with a negative chest x-ray indicates latent tuberculosis infection. This situation follows routine preventative care protocols rather than immediate interprofessional collaboration, as it does not signify active disease or complex care needs. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Protective eyewear is primarily used to protect the eyes from splashes of bodily fluids during procedures like suctioning or surgeries. Since the pressure ulcer is nondraining, there is no risk of fluid exposure, making this precaution unnecessary in this scenario.
Choice B rationale
Wearing a mask is essential to prevent the spread of airborne infections like tuberculosis. MRSA spreads through direct contact or contaminated surfaces, not airborne transmission. Thus, a mask is not indicated for dressing changes of nondraining pressure ulcers.
Choice C rationale
HEPA filtration systems are used to remove airborne contaminants in controlled environments, such as isolation rooms for patients with tuberculosis. MRSA does not require airborne precautions, so turning on a HEPA filtration system is not relevant.
Choice D rationale
Dedicated equipment prevents cross-contamination between patients when managing infections like MRSA. Items like thermometers and stethoscopes should be exclusive to the infected patient, reducing the spread of resistant bacteria to others.
Correct Answer is B
Explanation
Choice A rationale
Reporting the incident to the charge nurse is important for managerial awareness but not the immediate priority to secure the client’s health information. Addressing data security should precede reporting to ensure confidentiality is maintained swiftly, minimizing risks of breach or misuse.
Choice B rationale
Logging out the previous user immediately secures the unattended screen and protects client data from unauthorized access. This action directly eliminates the risk of information exposure, aligning with HIPAA regulations to safeguard privacy as the nurse’s first responsibility.
Choice C rationale
Completing an incident report documents the breach for accountability but does not address the immediate issue of exposed client data. While necessary for administrative purposes, it must follow direct actions to secure the health information promptly.
Choice D rationale
Conducting an in-service on confidentiality supports education but fails to resolve the immediate issue. This preventive measure should be considered after mitigating the risk to client data, emphasizing proactive rather than reactive measures.
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