A nurse is collecting data from a client who is 2 days postpartum.
The client tells the nurse she cannot afford to pay for baby formula.
The nurse should refer the client to which of the following members of the interprofessional team?

Nutritionist.

Primary care provider.

Pediatric nurse practitioner.

Case manager.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Referring the client to a nutritionist is not the most appropriate action in this situation. While nutritionists can provide valuable information on infant feeding, the client's primary concern is the inability to afford baby formula. A case manager is better suited to address the client's financial and social needs.

Choice B rationale:

Referring the client to the primary care provider is not the most appropriate action in this situation. The primary care provider may not have the resources or expertise to address the client's financial and social concerns.

Choice C rationale:

Referring the client to a pediatric nurse practitioner is not the most appropriate action in this situation. While pediatric nurse practitioners can provide healthcare for infants, they may not have the resources to address the client's financial constraints.

Choice D rationale:

Referring the client to a case manager is the most appropriate action in this scenario. A case manager can assess the client's financial situation and connect them with appropriate resources, such as government assistance programs or local charities, to help cover the cost of baby formula. Case managers specialize in coordinating care and addressing social determinants of health.

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale: Assigning the client to a negative pressure airflow room is crucial as varicella zoster is highly contagious and can be transmitted through airborne droplets. A negative pressure room helps contain the virus and filters the air, reducing the risk of spread to other patients and healthcare personnel.

Choice B rationale: Administering aspirin is contraindicated in clients with varicella zoster due to the risk of Reye's syndrome, especially in children and adolescents. Aspirin should not be given to children or adolescents with viral infections because it can cause serious complications affecting the liver and brain.

Choice C rationale: Having visitors remain at least 0.91 m (3 feet) away from the client is insufficient. Varicella zoster is highly contagious and requires more stringent airborne precautions, including having visitors wear masks and follow proper hygiene protocols to minimize the risk of transmission.

A. Sore throat B. Disorientation C. Blood pressure changes D. Tachycardia E. High fever F. Agranulocytosis

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B,C"},"C":{"answers":"B,C"},"D":{"answers":"B,C"},"E":{"answers":"B,C"},"F":{"answers":"A"}}

Explanation

Condition	Definition	Causes	Symptoms	Treatment
Agranulocytosis	A severe and potentially life-threatening reduction in the number of white blood cells (neutrophils) that fight infection.	Can be caused by some antipsychotic medications, such as clozapine, olanzapine, and quetiapine.	Sore throat, fever, chills, mouth ulcers, infections, bleeding, and fatigue.	Discontinuation of the offending medication, antibiotics, antifungals, and granulocyte colony-stimulating factor (G-CSF) injections to stimulate the bone marrow to produce more white blood cells.
Neuroleptic Malignant Syndrome (NMS)	A rare but serious reaction to antipsychotic medications, especially the older ones, such as haloperidol, fluphenazine, and chlorpromazine.	Can be triggered by high doses, rapid dose changes, or switching of antipsychotic medications.	High fever, muscle rigidity, altered mental status, autonomic instability (blood pressure changes, tachycardia, sweating, etc.), and elevated creatine kinase levels.	Discontinuation of the offending medication, supportive care, cooling measures, hydration, and medications such as dantrolene, bromocriptine, or amantadine to counteract the effects of dopamine blockade.
Serotonin Syndrome	A potentially life-threatening condition caused by excessive levels of serotonin in the brain.	Can be caused by taking too much of a serotonin-enhancing medication, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase inhibitors (MAOIs), or other drugs that affect serotonin levels, such as tramadol, linezolid, or St. John’s wort. Can also be caused by combining two or more serotonin-enhancing medications.	Agitation, confusion, disorientation, anxiety, hallucinations, muscle spasms, tremors, shivering, hyperreflexia, incoordination, diarrhea, nausea, vomiting, blood pressure changes, tachycardia, and hyperthermia.	Discontinuation of the offending medication(s), supportive care, hydration, and medications such as benzodiazepines, cyproheptadine, or serotonin antagonists to reduce serotonin levels.

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A nurse is collecting data from a client who is 2 days postpartum.The client tells the nurse she cannot afford to pay for baby formula.The nurse should refer the client to which of the following members of the interprofessional team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B,C"},"C":{"answers":"B,C"},"D":{"answers":"B,C"},"E":{"answers":"B,C"},"F":{"answers":"A"}}

Explanation

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A nurse is collecting data from a client who is 2 days postpartum.
The client tells the nurse she cannot afford to pay for baby formula.
The nurse should refer the client to which of the following members of the interprofessional team?