It is most important for the charge nurse to schedule a multi-disciplinary team meeting to discuss which client?
A business executive admitted with Guillain-Barre syndrome who has residual bilateral numbness in the lower extremities.
A woman who is pregnant with twins and whose due date is one week away.
An elderly client admitted through the emergency department with a broken hip whose blood glucose is 400 mg/dL (22 mmol/L).
A 2-year-old who contracted Hepatitis A while at a local daycare center.
The Correct Answer is C
Choice A reason: A business executive admitted with Guillain-Barre syndrome who has residual bilateral numbness in the lower extremities is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a complex and chronic condition, but it is not an acute or urgent situation that requires immediate collaboration and coordination of care.
Choice B reason: A woman who is pregnant with twins and whose due date is one week away is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a high-risk pregnancy, but it is not a complicated or emergent case that requires intensive and comprehensive care.
Choice C reason: An elderly client admitted through the emergency department with a broken hip whose blood glucose is 400 mg/dL (22 mmol/L) is the most important client to schedule a multi-disciplinary team meeting for. This client has a serious and potentially life-threatening condition that requires prompt and effective management of pain, infection, surgery, mobility, nutrition, and diabetes. A multi-disciplinary team meeting can facilitate the communication and collaboration among the healthcare professionals involved in the client's care and ensure the best possible outcomes.
Choice D reason: A 2-year-old who contracted Hepatitis A while at a local daycare center is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a contagious and unpleasant infection, but it is not a severe or critical condition that requires extensive and holistic care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A practical nurse is qualified to transport a postoperative client to the rehabilitation unit, as long as they have the necessary equipment and report any changes in the client's condition to the primary nurse.
Choice B reason: A practical nurse (PN) is competent to monitor the blood pressure of a client with hypertension, as long as they follow the prescribed treatment plan and report any abnormal findings to the primary nurse.
Choice C reason: An unlicensed assistive personnel (UAP) is not authorized to check a client for fecal impaction, as this is a nursing assessment that requires specialized knowledge and skills. The charge nurse should intervene and assign this task to a registered nurse or a practical nurse.
Choice D reason: A graduate nurse is capable of obtaining a unit of packed red blood cells from the blood bank, as long as they have the proper identification and documentation. They should also be supervised by an experienced nurse when administering the blood transfusion.
Correct Answer is A
Explanation
Choice A reason: This is the most urgent situation, as the client may have uremic encephalopathy, a serious complication of acute kidney injury that affects the brain function. The nurse should assess the client's neurological status, check the serum electrolytes and blood urea nitrogen (BUN) levels, and notify the provider immediately.
Choice B reason: This is a concerning situation, as the client may have a fever due to an infection or a reaction to the enteral feeding. The nurse should monitor the client's vital signs, check the feeding tube for patency and placement, and obtain a blood culture if ordered.
Choice C reason: This is a significant situation, as the client may have dehydration, electrolyte imbalance, and organ damage due to the heat stroke. The nurse should monitor the client's fluid intake and output, check the serum electrolytes and creatinine levels, and provide cooling measures as needed.
Choice D reason: This is a relevant situation, as the client may have dehydration, electrolyte imbalance, and nutritional deficiency due to the hyperemesis gravidarum. The nurse should monitor the client's fluid intake and output, check the serum electrolytes and glucose levels, and provide antiemetic medication as prescribed.
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