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 B
Explanation
Choice A rationale
Stopping feeding for a client who becomes short of breath demonstrates clinical judgment rather than fidelity. Fidelity specifically involves loyalty and adherence to commitments made to the client, which is not evidenced in this action.
Choice B rationale
Telling a client she will return with a medication and doing so exemplifies fidelity. It demonstrates the nurse's reliability and dedication to fulfilling promises or commitments made to the client, building trust and maintaining professional integrity.
Choice C rationale
Dividing time and care evenly between clients highlights fairness rather than fidelity. While fairness ensures equal treatment, fidelity focuses on maintaining trust and honoring specific promises or commitments made to individuals.
Choice D rationale
Administering a pain medication to a client before ambulation reflects prioritization of care and pain management. However, it does not illustrate fidelity, which involves fulfilling promises or responsibilities that the nurse has explicitly committed to.
Correct Answer is C
Explanation
Choice A rationale
Administering an antibiotic for a client with methicillin-resistant Staphylococcus aureus is essential to manage the infection. However, it does not require immediate attention compared to conditions threatening airway or oxygenation.
Choice B rationale
Changing the dressing for a decubitus ulcer is important for infection prevention and wound healing. However, it does not represent a life-threatening priority requiring urgent action compared to oxygenation needs.
Choice C rationale
Initiating oxygen therapy for a client with COPD addresses compromised oxygenation, a critical and life-threatening issue. Ensuring adequate oxygen levels is the highest priority in the ABCs of nursing (Airway, Breathing, Circulation).
Choice D rationale
Initiating a 24-hour urine collection for end-stage kidney disease is essential for diagnostic purposes but is not an immediate life-threatening need. Other tasks take precedence due to the urgency of stabilizing respiratory function. .
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