A nurse initiates a referral to an occupational therapist for a client with care at the facility.

Which of the following client care tasks should the nurse support the need for this referral?

The client requires assistance with completing oral hygiene.

The client expresses the desire to join a support group.

The client reports pain when chewing solid foods.

The client has difficulty ambulating with a walker.

Answer and Explanation

The Correct Answer is A

A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.

B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.

C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.

D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.

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Correct Answer is C

Explanation

A. Obtains client intake and output instead of delegating the task to an assistive personnel: While it may demonstrate initiative, effective time management involves delegating appropriate tasks to assistive personnel to maximize efficiency.
B. Skips lunch to catch up on client documentation: Skipping meals is not a sustainable or healthy time management strategy and may indicate poor self-care practices.
C. Reviews a client's medical record before performing a prescribed dressing change: This is the correct answer. Reviewing the client's medical record before performing a procedure ensures that the nurse is well-prepared and can perform the task efficiently and safely.
D. Documents medications administered throughout the shift at the end of the day: Documenting medications at the end of the day may lead to inaccuracies and delays in care. Timely and accurate documentation is essential for effective patient care.

A. A client who has a compromised airway B. A client who experienced a brief loss of consciousness C. A client who has fixed pupils D. A client who has major burns covering 70% of their body

Correct Answer is A

Explanation

- A. A client with a compromised airway requires immediate intervention to secure breathing, which is a top priority in triage situations. Without a patent airway, the client is at high risk for suffocation and rapid deterioration.
- B. A client who experienced a brief loss of consciousness may require observation and further assessment, but does not necessarily need immediate life-saving intervention if consciousness has been regained and there are no other signs of airway, breathing, or circulation compromise.
- C. A client with fixed pupils may indicate severe brain injury and, depending on the context, could be considered for a red tag. However, without additional information on breathing and circulation status, it is not the most definitive choice for immediate intervention.
- D. A client with major burns covering 70% of their body is critically injured and will require extensive medical care, but the immediate life-threatening issue in a triage situation is the airway compromise, not the burns themselves.

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A nurse initiates a referral to an occupational therapist for a client with care at the facility. Which of the following client care tasks should the nurse support the need for this referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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A nurse initiates a referral to an occupational therapist for a client with care at the facility.

Which of the following client care tasks should the nurse support the need for this referral?