The nurse is prioritizing care activities that are to be ...

[TFauchery]

The nurse is prioritizing care activities that are to be completed for a group of clients. From highest to lowest priority, list the order in which the nurse should complete the listed activities.
 
  A) Measure blood pressure before administering antihypertensive medication.
  B) Request dietary consult for gluten-free diet.
  C) Remove an intravenous access device infusing chemotherapy.
  D) Change a dressing on an arm wound.
  E) Call a family member to bring in shoes.
  F) Ambulate to the bathroom using a walker.

Question 2

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury.
 
  Many health professionals are involved in the client's and the scene is chaotic. The parents are extremely anxious and want to know what's happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting?
  A) To allow for each specialty to practice independently
  B) To share and evaluate information for care planning and implementation, and prevent priority conflicts, redundancy, and omissions in care.
  C) To all the primary healthcare provider to make all the decision regarding the client's care
  D) To prevent the parents from trying to change the plan of care

[jliusyl]

Answer to Question 1

Answer: C, A, D, F, B, E

The highest-priority action would be to remove an intravenous access device infusing chemotherapy because this could lead to significant tissue damage. Measuring blood pressure before administering antihypertensive medication is the next priority because this could be a timed intervention. Changing a dressing on an arm wound can occur anytime throughout the shift. Ambulating using a walker to the bathroom can be delegated to unlicensed assistive personnel. Requesting a dietary consult for gluten-free diet can also be done at any time and does not have a specific degree of urgency. Contacting family to bring in shoes can be completed at the end of the shift or delayed to the next shift.

Answer to Question 2

Answer: B

Interdisciplinary collaboration engages each professional's contribution to joint care planning, implementation, and accomplishment of client goals, with possibly less redundancy, more efficiency, and fewer care omissions. The parents of a minor child should be involved in all aspects of care and decision making.

[TFauchery]

Excellent

[Kedrick2014]

TYSM