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 B

Explanation

a. Keeping the ring for the client until after the surgery may not ensure its safety and could lead to loss or misplacement.
b. Placing the client's ring in the facility safe ensures its security and prevents loss or theft during the surgical procedure.
c. Taping the ring securely to the client's finger may not be comfortable or safe during surgery and could potentially lead to complications.
d. Placing the ring in the bag with the client's clothes may not ensure its security and could lead to loss or misplacement.

A. “If you have the procedure now, you won’t have to deal with pain and disability later” B. “I understand, and it’s not too late to change your mind” C. “Why didn’t you discuss your concerns with your provider” D. “You’ll be fine. You’ll receive a prescription for pain medication”

Correct Answer is B

Explanation

a. This response may come across as dismissive of the client's concerns and may not address the client's anxiety about pain adequately.
b. This response validates the client's feelings, acknowledges that it's okay to change their mind, and opens the door for further discussion or exploration of alternatives.
c. This response may sound accusatory and may not effectively address the client's immediate concerns.
d. This response does not address the client's worries about pain and may minimize their concerns.

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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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Explanation

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Correct Answer is B

Explanation

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