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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Cholesterol screening is a form of secondary prevention, aimed at identifying and managing existing health issues, not preventing them from occurring.

Choice B reason: Managing acute conditions is part of tertiary prevention, which focuses on managing disease after it occurs to prevent complications or further harm.

Choice C reason: Providing referrals to survivors of domestic violence is also a form of tertiary prevention, as it addresses an existing issue rather than preventing one.

Choice D reason: Discussing the benefits of exercise with school-age children is a primary prevention strategy, as it aims to prevent health issues from developing through education and promotion of healthy habits.

A. Myalgia B. Temperature 38.4° C (101.1° F) C. Decreased level of consciousness D. Vomiting

Correct Answer is C

Explanation

Choice A reason: Myalgia, or muscle pain, is a common symptom of many infections and is not typically a priority over more severe symptoms.

Choice B reason: While a fever is a concern, it is not as immediately threatening as a decreased level of consciousness, which can indicate a more severe infection affecting the central nervous system.

Choice C reason: A decreased level of consciousness can be a sign of severe illness affecting the central nervous system, such as encephalitis or meningitis, which are serious complications of West Nile virus infection.

Choice D reason: Vomiting can be a symptom of West Nile virus infection but is less concerning than neurological symptoms like decreased consciousness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is planning primary prevention strategies for the next fiscal year. Which of the following strategies should the nurse include?

Correct Answer is D

Explanation

A nurse in a clinic is assessing a client who is suspected to have a West Nile virus infection. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

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