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's healthcare power of attorney is not the most urgent information to report to the healthcare provider. It is relevant for the client's legal and ethical rights, but it does not affect the immediate clinical situation.
Choice B reason: The increasing confusion of the client is the most urgent information to report to the healthcare provider. It indicates a possible deterioration of the client's neurological status and requires prompt evaluation and intervention.
Choice C reason: The currently prescribed medications are important information to report to the healthcare provider, but they are not the first priority. They can be part of the background information that explains the client's medical history and current treatment.
Choice D reason: The fall at home as the reason for admission is also important information to report to the healthcare provider, but it is not the first priority. It can be part of the situation information that describes the client's chief complaint and presenting problem.
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