A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference?
A client who had surgery for cataract removal and lives in a rural location
A client who has hemiparesis and lives alone
A client who requires assistance to pay for dressing supplies
A client who requires instruction regarding medication administration
The Correct Answer is B
A. Incorrect. While living in a rural location may present challenges, cataract surgery typically does not require an interdisciplinary care conference unless there are significant complicating factors.
B. Correct. A client who has hemiparesis and lives alone likely requires coordination of care from multiple disciplines to address safety concerns, functional limitations, and support needs. C. Incorrect. While assistance with dressing supplies may require coordination with social services or financial assistance programs, it does not necessarily warrant an interdisciplinary care conference.
D. Incorrect. While medication administration instructions are important, they can typically be addressed by the nursing staff without requiring an interdisciplinary care conference.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Neostigmine is an acetylcholinesterase inhibitor that improves muscle strength by increasing the availability of acetylcholine at the neuromuscular junction, thereby enhancing muscle contraction.
B. Incorrect. Neostigmine does not destroy the antibodies that cause MG. MG is an autoimmune disorder characterized by antibodies that block or destroy acetylcholine receptors, leading to muscle weakness.
C. Incorrect. Neostigmine does not enhance immune system function. It works specifically on the neuromuscular junction to improve muscle strength in MG.
D. Incorrect. While neostigmine may indirectly help prevent excessive coughing by improving respiratory muscle strength in clients with MG, preventing coughing is not its primary action.
Correct Answer is C
Explanation
Choice A Rationale: Pulling the auricle upward and outward is typically recommended for children or infants due to the position of their ear canals. In adults, this method may not align the ear canal properly, making it difficult to administer the medication effectively.
Choice B Rationale: Pulling the auricle downward and backward is not recommended for adults as it can cause the ear canal to narrow, which may hinder the proper administration of the otic suspension and could potentially cause discomfort.
Choice C Rationale: Pulling the auricle upward and backward is the correct method for adults. This technique straightens the ear canal, allowing for easier administration of the medication and ensuring that the medication reaches the eardrum effectively.
Choice D Rationale: Pulling the auricle downward and outward is not the correct method for adults as it does not straighten the ear canal, which could prevent the medication from being properly administered and may not reach the treatment area effectively.
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