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 C
Explanation
Choice A rationale
While water is essential, the recommendation for disaster preparedness is 4 liters (1 gallon) of water per person per day. This ensures adequate hydration and hygiene needs during extended emergencies.
Choice B rationale
Nonprescription medications, including pain relievers and antacids, are useful in disaster kits. However, this detail is supplementary, as the primary focus is on sufficient sustenance and supplies for a prolonged period.
Choice C rationale
Gathering enough supplies to last for 2 weeks is the standard recommendation for disaster preparedness. This duration accounts for potential delays in external assistance during widespread emergencies, ensuring basic needs are met.
Choice D rationale
Replacing nonperishable food items annually ensures their quality and safety. However, this action is part of general maintenance and does not directly address the quantity and duration of supplies needed for disaster preparedness. .
Correct Answer is B
Explanation
Choice A rationale
An esophagogastroduodenoscopy is an invasive diagnostic procedure requiring sedation and involves potential risks such as perforation or bleeding. Due to the nature of these risks and necessary preparation, it mandates informed consent rather than falling under the scope of general consent for treatment.
Choice B rationale
Insertion of an NG tube to low intermittent suction is considered a routine intervention for gastrointestinal management. General consent typically encompasses such noninvasive bedside procedures as they are part of standard medical care without requiring specific informed consent.
Choice C rationale
Administration of 1 unit of fresh frozen plasma entails potential risks, including allergic reactions, fluid overload, or infection transmission. Specific informed consent is needed for blood product administration to ensure patient understanding of the risks, benefits, and alternatives.
Choice D rationale
An abdominal CT scan with contrast introduces risks associated with contrast agents, such as nephrotoxicity or allergic reactions. It is a more invasive diagnostic tool requiring specific informed consent to address potential adverse effects and preparation required.
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