A nurse working on a medical-surgical unit 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 at risk for pressure ulcers and has an albumin level of 4.2 g/dl
A client who is receiving heparin and has an aPTT of 34 seconds
A client who has orthostatic hypotension and is receiving IV fluids
The Correct Answer is B
A. A client with Type 1 diabetes using an insulin pump requires ongoing coordination between nursing, endocrinology, pharmacy, and potentially nutrition services. Management involves insulin dosing adjustments, blood glucose monitoring strategies, device education, and lifestyle planning, making interdisciplinary collaboration essential.
B. An albumin level of 4.2 g/dL is normal, indicating adequate nutritional status. A pressure injury risk alone without additional complications does not require an interdisciplinary conference.
C. An aPTT of 34 seconds is within or near normal range depending on reference values, so there is no indication of urgent anticoagulation management requiring team coordination.
D. Orthostatic hypotension managed with IV fluids is typically addressed through routine medical and nursing management unless it becomes refractory or complicated, so it does not require a formal interdisciplinary conference.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Black tags are typically used for individuals who are deceased or expected to die imminently. The chances of survival for this patient are very minimal since the burn surface area is more than 50% with full thickness burns
B. Yellow tags are used for those who require observation but are not in immediate danger.
C. Red tags are for those with severe injuries who require immediate treatment but have a chance of survival.
D. Green tags are used for individuals with minor injuries or those who require minimal medical assistance.
Correct Answer is A
Explanation
A. Placing the client's ring in the facility safe ensures that it is securely stored and prevents loss or misplacement, which is standard procedure for valuable personal items before surgery.
B. Placing the ring in the bag with the client’s clothing is not secure, as it increases the risk of loss or theft.
C. Taping the ring to the client’s finger is not ideal because jewelry should generally be removed before surgery to prevent complications such as swelling, circulation issues, or electrical burns from cautery equipment.
D. Keeping the ring for the client is inappropriate because staff should not personally hold onto a client’s valuables. Instead, valuables should be properly documented and stored per facility policy.
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