A nurse is assisting a provider with obtaining informed consent from a client who is scheduled for surgery. Which of the following actions should the nurse take?

A. Instructing a client on self-administration of a tap water enema involves providing education and guidance, which is within the scope of the nurse’s role. This task requires assessing the client’s understanding and ability to perform the procedure correctly.
B. Suctioning a client’s long-term tracheostomy involves specialized skills and knowledge, including the ability to manage potential complications and assess the client’s respiratory status. This task should be performed by a registered nurse or a licensed practical nurse who has the necessary training and expertise.
C. Changing the dressing on a PICC line involves sterile technique and specialized knowledge to prevent infection and ensure proper care of the central line. This task should be performed by a registered nurse or a licensed practical nurse with the appropriate training, as it requires assessment skills and adherence to infection control practices.
D. Using a pain rating scale to monitor a client’s pain level is a task that can be safely delegated to assistive personnel. It involves asking the client to rate their pain and recording the response, which is a straightforward task that does not require advanced clinical judgment.

A. This statement indicates that the client may have difficulty with activities of daily living (ADLs), such as bathing, due to their rheumatoid arthritis. An occupational therapist can help by providing adaptive techniques or tools to make these tasks easier, thus making this an appropriate referral need.
B. While this statement reflects a common issue for clients with rheumatoid arthritis, it primarily points to a need for pain management and potentially medication adjustments, which are more typically addressed by a rheumatologist or a pain specialist rather than an occupational therapist.
C. This statement is related to nutritional needs and weight management. A dietitian or nutritionist would be the most appropriate professional to help with meal planning and maintaining a healthy weight rather than an occupational therapist.
D. Difficulty with stairs is related to mobility and functional limitations. An occupational therapist can assist by assessing the client’s home environment and recommending modifications or adaptive devices to improve safety and mobility, making this an appropriate reason for referral.