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. An asymmetrical thorax could indicate chest trauma which could compromise oxygen delivery.
b. An open fracture of the femur without vessel inury is a lesser priority than chest trauma.
c. Preorbital edema (swelling around the eyes) may indicate facial trauma but is not as immediately lifethreatening as an open fracture.
d. A deep-partial thickness burn on the lower extremities is serious but does not pose an immediate threat to life compared to other injuries such as an open fracture with potential bleeding and risk of infection.

A. Ask the client if she would like a sedative to help her relax B. Inform the client that she cannot leave without a discharge prescription from the provider C. Have the client sign the Against Medical Advice form D. Assign a security officer to the client's room until the provider can speak with the client

Correct Answer is C

Explanation

. Inform the client that she cannot leave without a discharge prescription from the provider

Rationale:
a. Offering a sedative may not address the client's concerns and is not an appropriate response to the situation.
b.Inform the client that she cannot leave without a discharge prescription from the provider. Clients have the right to leave against medical advice; informing them otherwise infringes on their rights.

C Have the client sign the Against Medical Advice form. This action respects the client's autonomy while ensuring documentation of her decision to leave against medical advice, which protects both the client and healthcare facility legally.

d. Assigning a security officer to the client's room may escalate the situation unnecessarily. The focus should be on communication and education.

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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?

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