A nurse is planning discharge for several clients.
What is the nurse’s priority action when reviewing information to report to other members of the interprofessional team?
Notify spiritual support personnel about a client who requests a visit.
Request a dietitian consult for a client who asks for information about a vegan diet.
Ask social services to inform a client about community support organizations.
Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
The Correct Answer is D
Choice A rationale
Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice B rationale
Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice C rationale
Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information
to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice D rationale
This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
The guardian’s statement about inspecting the child’s mouth for sores indicates an understanding of the teaching. Children with leukemia are at a higher risk for infection due to the chemotherapy drugs used in treatment, which can also kill healthy cells, including white blood cells that fight infection. Sores in the mouth could be a sign of infection, and regular inspection can help detect any issues early. This is a crucial part of managing side effects in children receiving leukemia treatment.
Choice B rationale
The statement about ensuring the child gets a measles, mumps, and rubella vaccine this week is incorrect. Children with leukemia have weakened immune systems due to their disease and treatment, and live vaccines such as the MMR vaccine are generally not recommended. Live
vaccines contain a weakened form of the virus or bacteria they protect against, which could cause serious illness in a child with a weakened immune system.
Choice C rationale
The statement about the child feeling better now that he can ride his bicycle is not necessarily indicative of an understanding of the teaching. While physical activity is important for overall health, children with leukemia may need to limit some activities to reduce the risk of injury and infection. It’s important to balance the child’s activity level with their overall health status and risk of complications.
Choice D rationale
The statement about taking the child’s rectal temperature daily is not necessarily indicative of an understanding of the teaching. While monitoring for fever is important in children with leukemia, as it could be a sign of infection, rectal temperatures are generally not recommended due to the risk of causing injury or introducing bacteria.
Correct Answer is D
Explanation
Choice A rationale
Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.
Choice B rationale
Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.
Choice C rationale
Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.
Choice D rationale
Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.
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