Which client is most important for the charge nurse to schedule a multi-disciplinary team meeting for?

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The elderly client with a broken hip and a blood glucose level of 400 mg/dl is the most critical case for the charge nurse to schedule a multi-disciplinary team meeting. This client presents multiple complex healthcare needs that require the input and coordination of various healthcare professionals.

Firstly, the broken hip necessitates orthopedic evaluation and possibly surgical intervention, which requires collaboration with orthopedic specialists. Additionally, the elevated blood glucose level indicates a serious risk that could point to uncontrolled diabetes, demanding the involvement of endocrinologists or diabetes educators to address potential complications and manage their diabetes effectively.

These interdisciplinary discussions ensure that all aspects of the client's care—pain management, rehabilitation post-surgery, and blood glucose control—are integrated into a comprehensive care plan. This is vital in managing the client’s overall health and optimizing recovery potential. The complexity of the medical issues at hand justifies the need for a multi-disciplinary approach to ensure that the client receives all necessary care in an organized manner.

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