A goal for a client who has difficulty with the physical aspects of feeding herself due to osteoarthritis is to use adaptive devices to enhance her capabilities. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional health care team?
Social worker
Occupational therapist
Speech pathologist
Registered dietitian
The Correct Answer is B
A. Social worker:
A social worker assists with psychosocial support and discharge planning, not physical function or adaptive equipment training.
B. Occupational therapist:
Occupational therapists help clients with activities of daily living and can recommend adaptive devices (e.g., large-handled utensils, plate guards) to aid in feeding and independence.
C. Speech pathologist:
Involved in swallowing or speech difficulties, not physical feeding limitations due to joint issues.
D. Registered dietitian:
Addresses nutritional needs, not functional challenges with feeding mechanics.
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Related Questions
Correct Answer is D
Explanation
A. "My largest meal of the day should be in the evening.":
Larger meals in the evening can increase bowel activity overnight, which may be inconvenient. Smaller, more frequent meals are usually recommended.
B. "Carbonated beverages can help control odor.":
Carbonated beverages can actually increase gas and worsen odor.
C. "I should eliminate pasta from my diet so that I don't have as many loose stools.":
Pasta is typically a low-residue food and is well tolerated in colostomy clients.
D. "Eating yogurt can help decrease gas odor that I have.":
Yogurt contains probiotics that help regulate gut flora and reduce odor and gas.
Correct Answer is A
Explanation
A. Auscultate breath sounds at least every 2 hr.:
This helps identify early signs of respiratory complications like atelectasis or pneumonia, which are life-threatening. Therefore, it's the priority.
B. Make sure the client has an intake of 2,000 to 3,000 mL of fluid per day:
Important to prevent urinary stasis and constipation, but not as immediately critical as respiratory function.
C. Apply anti-embolic stockings:
Helps prevent DVT, a significant risk of immobility, but comes after ensuring airway and breathing.
D. Perform range-of-motion exercises at least two to three times daily:
Important for preventing contractures and muscle atrophy, but not the priority in terms of life-sustaining needs.
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