{"id":137505,"date":"2024-09-12T19:37:21","date_gmt":"2024-09-12T19:37:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137505"},"modified":"2024-09-12T19:37:23","modified_gmt":"2024-09-12T19:37:23","slug":"a-nurse-working-on-a-medical-surgical-unit-is-managing-the-care-of-four-clients","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-working-on-a-medical-surgical-unit-is-managing-the-care-of-four-clients\/","title":{"rendered":"A nurse working on a medical-surgical unit is managing the care of four clients"},"content":{"rendered":"\n<p>A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?<\/p>\n\n\n\n<p>A.<br>A client who has Type 1 diabetes and uses an insulin pump<\/p>\n\n\n\n<p>B.<br>A client who is at risk for pressure ulcers and has an albumin level of 4.2 g\/dl<\/p>\n\n\n\n<p>C.<br>A client who is receiving heparin and has an aPTT of 34 seconds<\/p>\n\n\n\n<p>D.<br>A client who has orthostatic hypotension and is receiving IV fluids<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>D. A client who has orthostatic hypotension and is receiving IV fluids.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>An interdisciplinary conference is a collaborative meeting involving healthcare providers from multiple disciplines, such as physicians, nurses, dietitians, physical therapists, and pharmacists, to discuss and develop a comprehensive care plan for a complex or at-risk client. The client who is experiencing orthostatic hypotension and receiving IV fluids requires this type of conference because:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Complexity of Condition<\/strong>: Orthostatic hypotension involves a drop in blood pressure when a person moves from sitting or lying down to standing, leading to dizziness, lightheadedness, and sometimes falls. This condition can be complex and might involve multiple causes, including dehydration, electrolyte imbalances, cardiovascular issues, or medication side effects. The involvement of various healthcare professionals ensures that all potential contributing factors are addressed comprehensively.<\/li>\n\n\n\n<li><strong>IV Fluid Therapy<\/strong>: The client receiving IV fluids needs careful monitoring, as improper management can lead to fluid overload, electrolyte imbalances, or inadequate rehydration. The interdisciplinary team, including the nurse, physician, and possibly a pharmacist, can collaborate on optimizing the fluid regimen and ensuring it is appropriate based on the client\u2019s clinical status.<\/li>\n\n\n\n<li><strong>Fall Risk<\/strong>: Clients with orthostatic hypotension are at high risk for falls. Physical therapists and occupational therapists can provide input on strategies to prevent falls, such as recommending assistive devices or teaching the client how to rise safely from bed or a chair. Fall prevention is crucial to avoiding injuries.<\/li>\n\n\n\n<li><strong>Multidisciplinary Approach<\/strong>: Managing orthostatic hypotension may require input from various professionals:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A <strong>dietitian<\/strong> to address fluid and sodium intake<\/li>\n\n\n\n<li>A <strong>pharmacist<\/strong> to review and adjust medications<\/li>\n\n\n\n<li>A <strong>physical therapist<\/strong> to assist with mobility and strength exercises<\/li>\n<\/ul>\n\n\n\n<p>In contrast, the other clients listed in the options (with Type 1 diabetes using an insulin pump, at risk for pressure ulcers with normal albumin levels, or receiving heparin with a near-normal aPTT) generally have more straightforward or stable conditions, which may not require the input of a full interdisciplinary team.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse working on a medical-surgical 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 has Type 1 diabetes and uses an insulin pump B.A client who is at risk for pressure ulcers and has an albumin level of 4.2 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137505","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137505"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137505\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}