A nurse is working on a medical-surgical unit and is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A client who has type 1 diabetes and uses an insulin pump

A client who is receiving heparin and has an aPTT of 34 seconds

A client who has orthostatic hypotension and is receiving IV fluids

A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dl

Answer and Explanation

The Correct Answer is D

a.   While a client with type 1 diabetes using an insulin pump may require interdisciplinary collaboration for optimal management, this scenario does not suggest an immediate need for an interdisciplinary conference.
b.   A client receiving heparin with an aPTT of 34 seconds may require adjustment of the heparin dosage, but this situation does not necessitate an interdisciplinary conference.
c.   A client with orthostatic hypotension receiving IV fluids may require close monitoring and collaboration among healthcare providers, but this situation does not suggest an immediate need for an interdisciplinary conference.
d.   A client at risk for pressure ulcers with an albumin level of 4.2 g/dl may require an interdisciplinary conference to address nutrition, wound care, and preventive measures to reduce the risk of pressure ulcer development.

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Correct Answer is A

Explanation

a. Instituting rounds every 2 hours during the day to offer toileting can help prevent falls by addressing residents' toileting needs and reducing the risk of falls associated with attempting to ambulate to the bathroom independently.
b. Keeping four side rails up on the beds at night may increase the risk of entrapment and should be avoided as a fall prevention strategy.
c. Applying restraints, such as vest restraints, is not recommended as a fall prevention measure and may increase agitation and risk of injury.
d. While providing assistance during ambulation is important, it is not necessary to accompany all residents older than 85 years of age. Ambulation assistance should be provided based on individual assessment of mobility and fall risk.

A. Instruct the client’s family to contact the insurance provider about the oxygen equipment B. Send an oxygen tank from the facility home with the client C. Contact social services about the delivery of the oxygen equipment D. Notify the provider about the delayed oxygen tank delivery

Correct Answer is D

Explanation

a. Instructing the client's family to contact the insurance provider may be appropriate for resolving insurance-related issues but does not directly address the delay in oxygen tank delivery.
b. Sending an oxygen tank from the facility home with the client may not be feasible or within the nurse's scope of practice without coordination with the equipment provider.
c. Contacting social services may not be necessary for resolving the delayed delivery of oxygen equipment, as this is typically managed by the equipment provider or the client's healthcare team.
d. Notifying the provider about the delayed oxygen tank delivery allows for appropriate follow-up and coordination to ensure the client receives the necessary equipment in a timely manner.

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A nurse is working on a medical-surgical unit and is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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