The nurse caring for a client whose condition is rapidly deteriorating is unable to reach the primary care provider. The nurse next would attempt to notify which of the following?
1. The physician's assistant
2. The secondary care provider
3. The hospitalist
4. The Emergency Department physician
3
Rationale 1: A hospitalist is a physician hired to care for any inpatient client requiring immediate attention. If a hospital employs this type of physician, many primary care physicians will turn their client over to the hospitalist while the client is in the hospital. In the event of an emergency, or if the primary physician cannot be reached, the hospitalist would temporarily act as the client's physician to provide emergency care. The physician's assistant would not be able to function independently in this situation. A secondary care provider is the hospital, not a specific person. In the past, if a client physician could not be reached, the Emergency Department physician would assist in the care of the client. However, the ED physician's first responsibility is to the clients in the ED, and she might not be available to deliver care.
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