A nurse in an adult day health care center is assessing a client who was referred to the facility after having a stroke that affected their right upper and lower extremities. Which of the following findings should the nurse identify as a need for referral to occupational therapy?
Weight loss of 2.3 kg (5 lb) in 1 month
Coughing after drinking liquids
Unable to recognize pictures
Difficulty gripping objects
The Correct Answer is D
Choice A reason: Weight loss may be a concern but does not directly indicate a need for occupational therapy.
Choice B reason: Coughing after drinking liquids could indicate a swallowing disorder, which would typically require a referral to a speech therapist, not an occupational therapist.
Choice C reason: Inability to recognize pictures might suggest cognitive issues, which could require a neuropsychologist or speech therapist rather than an occupational therapist.
Choice D reason: Difficulty gripping objects is a common impairment after a stroke that affects motor skills, making it a clear indication for occupational therapy to help regain those skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason: Herpes simplex type 1 is not a reportable disease to the CDC.
Choice B reason: Rubeola virus, which causes measles, is a reportable disease to the CDC because it is highly contagious and can lead to outbreaks.
Choice C reason: Scarlet fever is not a reportable disease to the CDC unless it is associated with an outbreak or foodborne illness.
Choice D reason: Kawasaki disease is not a reportable disease to the CDC.
Correct Answer is A
Explanation
Choice A reason: Using a new condom for each sexual act is essential to prevent the transmission of STIs. Condoms are a barrier method that can reduce the risk of STI transmission when used correctly and consistently.
Choice B reason: Oil-based lubricants are not recommended for use with latex condoms because they can weaken the latex and cause the condom to break. Water-based or silicone-based lubricants are safer options.
Choice C reason: Currently, there is no vaccine available to prevent gonorrhea. Vaccines are available for other STIs, such as hepatitis B and human papillomavirus (HPV).
Choice D reason: Older adults are not at a lower risk of contracting STIs. In fact, the rate of STIs among older adults has been increasing, and they should also practice safe sex.
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