A nurse is working with other members of the interprofessional team in caring for a client in the emergency department. The nurse recognizes that improved client outcomes will be achieved by which of the following?

Collaboration and open communication

Independent treatment

Timely client discharge

Frequent changes in team members

Answer and Explanation

The Correct Answer is A

Choice A reason: Collaboration and open communication are the foundation of effective interprofessional teamwork. When health care providers share information transparently, coordinate interventions, and respect each other’s expertise, patient care becomes safer and more efficient. Open communication reduces errors, ensures continuity of care, and promotes shared decision-making. Collaboration also fosters mutual accountability, which directly improves client outcomes by aligning all team members toward the same patient-centered goals.

Choice B reason: Independent treatment undermines interprofessional collaboration. When providers act in isolation without consulting the team, important information may be overlooked, leading to fragmented care. This increases the risk of duplicating interventions, missing critical changes in patient status, and failing to address complex needs holistically. Independent treatment is therefore a barrier to improved outcomes.

Choice C reason: Timely client discharge is important for hospital efficiency and patient flow, but it is not the primary factor in improving outcomes. Discharging a client quickly without ensuring stability and adequate follow-up care can compromise safety. While discharge planning is part of quality care, it must be coordinated with the team and based on readiness, not speed.

Choice D reason: Frequent changes in team members disrupt continuity of care and weaken collaboration. Constant turnover prevents team members from building trust and understanding each other’s roles. It also increases the likelihood of miscommunication and errors, as new members may not be fully aware of the client’s history or care plan. Stability in the team supports better outcomes, while frequent changes hinder them.

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Correct Answer is C

Explanation

Choice A reason: Assisting a client with a bath is considered a non-urgent task. While hygiene is important for patient comfort and prevention of infection, it does not pose an immediate threat to the client’s safety or health status. This task can be delegated or postponed until more urgent needs are addressed.

Choice B reason: Requesting a referral for home health services is an administrative and planning task. It is important for continuity of care, but it does not represent an acute or urgent clinical need. This can be addressed later in the shift once immediate safety concerns are stabilized.

Choice C reason: A client asking about his PCA pump containing morphine is the priority because PCA (patient-controlled analgesia) involves opioid administration. Any uncertainty or confusion about the PCA pump could lead to improper use, overdose, or inadequate pain control. Opioid safety is a high priority due to risks of respiratory depression, sedation, and potential misuse. Clarifying PCA use ensures safe medication administration and prevents life-threatening complications.

Choice D reason: A client who has Question s about a new prescription requires education, which is important for adherence and safety. However, this is not immediately life-threatening and can be addressed once urgent safety concerns are managed. Patient teaching is best done when the client is stable and the nurse has adequate time to provide thorough explanations.

A. A client who is postoperative following a lobectomy and has a chest tube B. A client who needs teaching prior to initiating cardiac rehabilitation activities C. A client who is being discharged to a long-term care facility D. A client who needs insulin self-administration

Correct Answer is A

Explanation

Choice A reason: A client who is postoperative following a lobectomy and has a chest tube is the most appropriate assignment for a PACU nurse. PACU nurses are highly skilled in caring for immediate postoperative patients, monitoring for complications such as respiratory distress, bleeding, and chest tube management. Their expertise in airway management, pain control, and hemodynamic monitoring makes them well-suited for this client.

Choice B reason: Teaching prior to initiating cardiac rehabilitation requires specialized knowledge in patient education and long-term management of cardiovascular disease. This is best handled by a nurse with experience in cardiac rehabilitation or medical-surgical nursing, not a PACU nurse whose focus is on acute postoperative recovery.

Choice C reason: Discharge planning to a long-term care facility involves coordination of care, patient education, and interdisciplinary communication. These tasks require familiarity with community resources and continuity of care, which are not the primary skills of a PACU nurse.

Choice D reason: Teaching insulin self-administration requires patient education skills and knowledge of diabetes management. This is not within the typical scope of PACU nursing, as PACU nurses focus on immediate postoperative stabilization rather than chronic disease education.

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A nurse is working with other members of the interprofessional team in caring for a client in the emergency department. The nurse recognizes that improved client outcomes will be achieved by which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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