a nurse working on a med surg unit is managing the care of four clients the nurse should schedule an interdisciplinary conference for which of the fol

HESI LPN

Leadership and Management HESI Quizlet

1. A nurse working on a med-surg unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL
B. A client with type 1 DM who uses an insulin pump
C. A client who is receiving heparin and has an aPTT of 34 seconds
D. A client with orthostatic hypotension receiving IV fluids

Correct answer: C

Rationale: The nurse should schedule an interdisciplinary conference for a client who is receiving heparin and has an aPTT of 34 seconds to ensure comprehensive care coordination. In this case, the need for a conference may be to discuss potential adjustments in heparin therapy, monitor for adverse effects, or ensure proper anticoagulation levels. Choices A, B, and D do not specifically indicate the need for interdisciplinary collaboration related to the client's condition or treatment. Therefore, they are not the priority for scheduling an interdisciplinary conference.

2. Which of the following is a benefit of the U.S. health-care system?

A. With cost savings from technology, more Americans now have health-care insurance.
B. Quality of care has improved in the United States.
C. Care in the United States has shifted to a prevention focus rather than an illness focus.
D. The use of technology is projected to decrease health-care costs and improve clinical outcomes.

Correct answer: D

Rationale: The correct answer is D because the use of technology and electronic health records is projected to decrease health-care costs and improve clinical outcomes, quality, and safety. Choice A is incorrect because it states that very few Americans have no health-care insurance, which is not a benefit of the U.S. health-care system. Choice B may be true, but it does not directly address a benefit of the health-care system. Choice C is not necessarily a benefit but rather a shift in focus, so it is also incorrect.

3. Which of the following is considered an internal disaster?

A. A patient fall
B. The massive spread of pneumonia
C. A computer hacking episode
D. Unexpected staff absences due to illness

Correct answer: C

Rationale: A computer hacking episode is considered an internal disaster as it disrupts the internal operations of the healthcare facility, compromising data security and potentially impacting patient care. Choices A, B, and D do not directly relate to internal disasters in a healthcare setting. A patient fall is a patient safety issue, the massive spread of pneumonia is a public health concern, and unexpected staff absences due to illness may affect staffing levels but are not typically classified as internal disasters.

4. Your patient has been diagnosed with orchiditis. What information about this disorder should you inform the patient about?

A. This disorder often occurs as a result of streptococcus.
B. This disorder can be symptomatically treated with ice.
C. This disorder can be symptomatically treated with heat.
D. This disorder is typically treated with surgery.

Correct answer: B

Rationale: Orchiditis can be symptomatically treated with ice to reduce inflammation. Choice A is incorrect because orchiditis is not typically caused by streptococcus. Choice C is incorrect as heat is not the recommended treatment for orchiditis. Choice D is also incorrect as surgery is not the first-line treatment for orchiditis.

5. A nurse enters a client room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?

A. Educate the client about the risks of refusing medications
B. Complete an incident report
C. Answer the client's question concerning the procedure
D. Inform the provider that the client requires clarification about the procedure

Correct answer: D

Rationale: The correct action for the nurse to take in this situation is to inform the provider that the client requires clarification about the procedure. This ensures that the client fully understands the gastroscopy procedure before giving consent. Choice A is incorrect as the client's issue is not about refusing medications. Choice B is irrelevant as there is no incident to report. Choice C could be misleading as the nurse should not be providing information about the procedure but rather ensuring that the client gets the necessary clarification from the provider.