A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication.

Exhibits

Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for

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and

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.

Choice A rationale

A physical therapist focuses on improving a client’s movement, mobility, and function, and relieving pain. They may not specialize in helping clients with difficulties using utensils during meals.

Choice B rationale

A recreational therapist uses a variety of modalities, including arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings to help maintain or improve a patient’s physical, social, and emotional well-being. However, they may not be the best fit for a client having difficulty using utensils during meals.

Choice C rationale

An occupational therapist specializes in helping people regain, develop, and build skills that are important for independent functioning, health, and well-being. They can provide strategies and make recommendations for adaptive equipment, such as specially designed utensils, to

help the client with Parkinson’s disease eat more independently. Therefore, referring the client to an occupational therapist would be the most beneficial.

Choice D rationale

A speech therapist specializes in the evaluation and treatment of communication disorders and swallowing disorders. While they could assist if the client had difficulties with swallowing, they may not be the best fit for a client having difficulty using utensils during meals.

A. Prick the central tip of the patient’s finger: The central tip of the finger has more nerve endings, making it more painful.Instead, the side of the fingertip should be used because it has fewer nerve endings and promotes better blood flow.

B. Apply the first drop of blood to the test strip: The first drop of blood may contain interstitial fluid or contaminants (e.g., alcohol residue), leading to inaccurate readings.Instead, the first drop should be wiped away, and the second drop should be used for testing.

C. Hold the patient’s finger in a dependent position:Holding the finger in a dependent position (below heart level) helps increase blood flow to the fingertip, making it easier to obtain an adequate blood sample without excessive squeezing, which could dilute the sample with tissue fluid.

D. Clean the patient’s finger with hexachlorophene: Hexachlorophene is not recommended for skin antisepsis before blood glucose testing.Instead, alcohol wipes or soap and water should be used. The finger should be fully dried before pricking to avoid dilution of the blood sample.