Clinical Decision Making Questions with Answers (100%
Correct Answers)
A nurse is planning care for a client who has residual effects from an ischemic
stroke. Which of the following inter-professional consults should the nurse request
first?
A. Speech-language pathologist
B. Occupational Therapist
C. Physical Therapist
D. Social worker
Ans: A. Speech-language pathologist.
Rationale: The greatest risk to this client is risk from aspiration; therefore, the nurse
should first require a consult for a speech-language pathologist.
A nurse is planning care for 4 clients. Which of the following tasks should the nurse
delegate to a licensed practical nurse (LPN)?
A. Assess a client's post-operative abdominal incision.
B. Provide discharge teaching for a client who has had a laparoscopic
cholecystectomy.
C. Perform a wet-to-dry dressing change for a client who has a pressure ulcer.
D. Initiate a blood transfusion for a client who has low hemoglobin.
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Ans: C. Perform a wet-to-dry dressing change for a client who has a pressure ulcer.
Rationale: Dressing changes are within an LPN's scope of practice.
A nurse is managing the care for a client who has recent unexplained weight loss
and a low serum albumin level. Which of the following members of the
interprofessional team should the nurse consult?
A. Occupational therapist
B. Case manager
C. Registered dietician
D. Social worker
Ans: C. Registered dietician
Rationale: The nurse should consult a registered dietician who will design a therapeutic
diet, which will provide the client with needed nutrition to correct weight and protein
loss.
A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse attend to first?
A. A client who is scheduled for discharge and requires teaching for wound care.
B. A client who is post-operative and requests medication before ambulation.
C. A client who is to receive an antibiotic in 1 hr and has a prescription for a peak
and trough level.
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