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 D
Explanation
Choice A reason: The client post triple coronary bypass four days ago who has serosanguinous drainage in one chest tube is not the most urgent client to check. The client may have some bleeding and inflammation from the surgery, but the condition is not life-threatening or unstable. The client requires routine care and monitoring of the chest tube and the wound.
Choice B reason: The client admitted yesterday with diabetic ketoacidosis whose blood glucose level is now 195 mg/dL (10.8 mmol/L) is not the most urgent client to check. The client may have improved from the initial presentation of high blood glucose, acidosis, and dehydration, but the condition is not life-threatening or unstable. The client requires education, fluid replacement, and insulin administration.
Choice C reason: The client with an ileal conduit created two days ago with a scant amount of blood in the drainage pouch is not the most urgent client to check. The client may have some postoperative complications such as infection, obstruction, or leakage, but the condition is not life-threatening or unstable. The client requires observation, comfort measures, and stoma care.
Choice D reason: The client with a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90% is the most urgent client to check. The client has a serious and unstable condition that requires chest tube insertion and oxygen therapy. The client is at risk of respiratory failure, hypoxia, or tension pneumothorax and needs to be assessed and treated as soon as possible.
Correct Answer is D
Explanation
Choice A reason: Transcription of the healthcare provider's treatment plan is not a task that can be delegated to a PN, as it requires nursing judgment and documentation. The charge nurse should perform this task and verify the orders with the provider.
Choice B reason:A subclavian catheter dressing change is a sterile procedure involving central line care, which is considered an advanced skill typically performed by an RN. Many facilities do not allow PNs to perform this due to the risk of infection and complications.
Choice C reason: The admission assessment is not a task that can be delegated to a PN, as it involves collecting and analyzing data from multiple sources. The charge nurse or the registered nurse should perform this task and document the findings.
Choice D reason: PNs are trained and authorized to insert Foley catheters, which is within their scope of practice. Although the patient has septicemia, catheter insertion is a task-based procedure that does not require critical decision-making, making it an appropriate assignment for a PN.
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