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

Answer and Explanation

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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Correct Answer is A

Explanation

A. "I will check your medication prescription again.":
This is the most appropriate and client-centered response. It acknowledges the client’s concern and prioritizes safety.

B. "Let me explain the purpose of the medication.":
Education is important, but confirming the medication comes first to ensure accuracy before administering.

C. "Sometimes the same pill comes in a different color.":
This may be true but can come off as dismissive without verifying the medication first.

D. "This is the medication that your doctor wants you to take.":
This is dismissive of the client’s concern and bypasses necessary safety verification steps.

A. No stool noted in the collection bag B. Slight bleeding of the stoma site C. Purplish colored stoma D. Edematous stoma

Correct Answer is C

Explanation

A. No stool noted in the collection bag:
This can be normal in the first 24–48 hours after surgery due to the bowel being empty or sluggish after anesthesia.

B. Slight bleeding of the stoma site:
Minor bleeding is normal due to increased vascularity of the stoma site and handling during surgery.

C. Purplish colored stoma:
Abnormal and urgent. A purple, dusky, or black stoma suggests poor perfusion or necrosis and must be reported immediately.

D. Edematous stoma:
Mild to moderate edema is expected initially after surgery and usually resolves over time.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse give?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has developed osteoarthritis. Which of the following information should the nurse provide about the disease in the teaching?

A nurse is assisting with a presentation at a community center about knee disorders and injuries. The nurse should include which of the following as risk factors for developing osteoarthritis? (Select all that apply.)

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A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?

A nurse is collecting data from a 21-year-old female client who has manifestations of obesity. Which of the following findings should indicate to the nurse the client is obese?

A nurse is talking about joint protection strategies with an older adult client who has osteoarthritis. Which of the following recommendations should the nurse reinforce?

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?

A nurse is inserting an NG tube. Identify the sequence the nurse should follow. (Move the steps of NG tube insertion on the left into the box on the right, placing them in the selected order of performance. All steps must be used.)