A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

"I just don't think I can handle looking at my leg."

"I am worried about taking care of my toddler at home."

"I hope I can adjust to using crutches while I am recovering

"I am not sure how I will pay for all the therapy I will need."

Answer and Explanation

The Correct Answer is B

A.   Feeling discomfort or distress about looking at the amputated leg might indicate the need for psychological support or counseling but doesn't specifically indicate the need for occupational therapy.
B.   Expressing worry about managing childcare responsibilities at home suggests potential difficulty with daily activities, indicating a need for occupational therapy to assess and address these concerns.
C.   Hoping to adjust to using crutches during recovery indicates a concern related to
mobility, which might involve physical therapy but not necessarily occupational therapy.
D.   Expressing concern about affording therapy doesn't specifically indicate a need for occupational therapy; this might relate more to financial counseling or social work support.

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Correct Answer is B

Explanation

A. A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B. Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C. While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D. An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.

A. A collaborative, user-edited website B. An evidence-based nursing journal C. The facility's case manager D. The client's health care provider

Correct Answer is B

Explanation

A. Collaborative, user-edited websites might contain varying levels of accuracy and reliability regarding medical information, making them less suitable for obtaining specific prevalence data.
B. An evidence-based nursing journal is a reliable source of information that often includes statistical data, prevalence rates, and updated research on various medical conditions, including Tay-Sachs disease.
C. The facility's case manager might have general information but may not provide specific prevalence rates for Tay-Sachs disease.
D. While the client's health care provider might have knowledge about Tay-Sachs disease, their primary focus during a clinical encounter might be the client's immediate care needs rather than providing statistics on disease prevalence.

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A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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