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 A
Explanation
Choice A reason: Telling the healthcare provider the nurse will return the phone call as soon as possible is the best instruction for the nurse to provide the unit clerk. The nurse is responsible for receiving and verifying the prescription from the healthcare provider and cannot delegate this task to the unit clerk. The nurse should prioritize the unstable client and call back the healthcare provider when the situation is stable.
Choice B reason: Remaining with this client and monitoring the vital signs while the nurse takes the call is not the best instruction for the nurse to provide the unit clerk. The nurse should not leave the unstable client unattended and should not rely on the unit clerk to perform the nursing assessment and intervention. The nurse should also not take the call from the healthcare provider without verifying the identity and authority of the caller.
Choice C reason: Asking the healthcare provider to remain on "hold" until the nurse can confirm the prescription is not the best instruction for the nurse to provide the unit clerk. The nurse should not keep the healthcare provider waiting on the phone and should respect the healthcare provider's time and availability. The nurse should also not confirm the prescription without receiving and verifying it from the healthcare provider.
Choice D reason: Being sure to write down what is prescribed and then repeat it back to the healthcare provider is not the best instruction for the nurse to provide the unit clerk. The nurse should not allow the unit clerk to receive and transcribe the prescription from the healthcare provider and should not delegate this task to the unit clerk. The nurse should also not assume that the unit clerk has the knowledge and skills to understand and communicate the prescription.
Correct Answer is B
Explanation
Choice A reason: The client is grieving normally in response to her husband's death and hospitalization is not necessary is not the best information for the nurse to provide this family. This may be insensitive and dismissive of the family's concerns and the client's condition. The client may have signs of delirium or dementia that require further evaluation.
Choice B reason: Managed care providers have mandatory pre-certification requirements for hospitalization is the best information for the nurse to provide this family. This informs the family of the process and criteria that need to be met before the client can be admitted to the hospital under the managed healthcare plan. This may help the family understand the limitations and expectations of the plan.
Choice C reason: Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital is not the best information for the nurse to provide this family. This may be inaccurate and irrelevant to the family's situation. The family may not care about the healthcare costs as much as the client's well-being.
Choice D reason: Managed healthcare plans do not pay for any in-hospital medical evaluations is not the best information for the nurse to provide this family. This may be false and misleading. Managed healthcare plans may cover some in-hospital medical evaluations depending on the plan and the client's condition.
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