A client who had a stroke is admitted to the neurological floor in a rehabilitation hospital.
Which interdisciplinary team member should the nurse consult to assist with the client's activities of daily living?
Physical therapist.
Case manager.
Occupational therapist.
Social worker.
The Correct Answer is C
Post-stroke rehabilitation necessitates the application of interdisciplinary care coordination principles. Knowledge of the specific scopes of practice for various therapists is required to identify which professional specializes in adapting the environment and teaching techniques for performing essential daily self-care tasks.
Choice A rationale
Physical therapists primarily focus on gross motor skills, such as gait training, balance, and lower extremity strength. While they assist with mobility, they do not specialize in the fine motor tasks or adaptive equipment used for daily self-care activities.
Choice B rationale
Case managers focus on the coordination of care, insurance authorization, and discharge planning. They facilitate the transition between care levels but do not provide the direct clinical therapy needed to improve a client's performance of daily tasks.
Choice C rationale
Occupational therapists specialize in helping clients regain independence with activities of daily living, such as dressing, bathing, and eating. They utilize task modification and adaptive devices to address the fine motor and cognitive deficits following a stroke.
Choice D rationale
Social workers address the psychosocial needs, financial resources, and emotional support systems of the client and family. While they assist with the broader aspects of recovery, they do not have the clinical training to improve physical self-care abilities..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Accurate neurologic assessment in suspected stroke requires systematic comparison to identify focal deficits. Applying knowledge of neuroanatomy and lateralization of brain function is essential to differentiate between localized ischemic events and generalized systemic issues, ensuring the correct vascular territory is identified.
Choice A rationale
Rapid assessments may lead to overlooking subtle focal neurologic deficits or sensory changes. Precision is required to localize the brain lesion accurately. While time is critical in stroke, haste must not compromise the integrity and detail of the examination.
Choice B rationale
The supine position may increase intracranial pressure or compromise the airway in a stroke patient with decreased gag reflexes. Assessing certain reflexes and motor strength often requires varying the head of the bed to at least 30 degrees for safety.
Choice C rationale
Symmetry is the hallmark of neurologic health. Comparing left and right sides allows the nurse to identify unilateral weakness, sensory loss, or reflex changes characteristic of stroke. This lateralization helps distinguish focal neurological deficits from global brain dysfunction.
Choice D rationale
Anxiolytics can depress the central nervous system, altering the level of consciousness and pupillary responses. This medication masks the client's true neurologic status, making it impossible to obtain a baseline or detect subtle clinical changes or deterioration.
Correct Answer is C
Explanation
Management of viral hepatitis focuses on hepatic recovery and metabolic support. Knowledge of liver physiology and the impact of inflammation on energy levels is necessary. Interventions aim to reduce the metabolic demands on the liver while avoiding substances that cause hepatotoxicity.
Choice A rationale
. While adequate nutrition is vital, excessively high protein may stress the liver if it cannot properly metabolize nitrogenous waste into urea. A balanced diet with high carbohydrates is usually preferred. The liver requires energy stores to support the regeneration of hepatocytes.
Choice B rationale
. Individuals with a history of hepatitis B are permanently deferred from blood donation to prevent the risk of transfusion-transmitted infections. Even after recovery, the virus can remain latent. Public health safety guidelines strictly prohibit blood products from these individuals.
Choice C rationale
. Fatigue is a primary symptom of hepatitis due to decreased hepatic metabolic function. Frequent rest reduces the body’s overall metabolic rate, thereby decreasing the workload on the liver. This preservation of energy helps facilitate the natural cellular repair processes.
Choice D rationale
. Acetaminophen is metabolized by the liver and can be highly hepatotoxic, especially during active inflammation. It should be strictly avoided or used very cautiously. The normal range for liver enzymes often fluctuates, making the liver more vulnerable to toxins.
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