A nurse is caring for a client who has difficulty holding utensils while eating. The nurse should obtain a referral for which of the following members of the interprofessional team?
Physical therapist
Social worker
Dietitian
Occupational therapist
The Correct Answer is D
Choice A reason: A physical therapist focuses on improving mobility, strength, and physical rehabilitation. While helpful for overall function, they do not specialize in adaptive techniques for eating.
Choice B reason: A social worker assists with psychosocial support, counseling, and community resources. They do not provide direct interventions for fine motor difficulties with eating utensils.
Choice C reason: A dietitian provides nutritional guidance and meal planning. While important for dietary needs, they do not address the mechanical difficulty of holding utensils.
Choice D reason: An occupational therapist specializes in helping clients perform activities of daily living, including eating. They can recommend adaptive utensils, teach strategies, and improve fine motor coordination. This makes them the correct referral.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Celiac disease is an autoimmune condition triggered by gluten ingestion. It affects nutrient absorption but does not directly increase aspiration risk during enteral feedings.
Choice B reason: Increased gastric motility actually reduces aspiration risk because food moves more quickly through the stomach. Delayed gastric emptying, not increased motility, is associated with aspiration.
Choice C reason: Parkinson’s disease is the correct answer because it impairs swallowing and gag reflexes due to neuromuscular dysfunction. Clients with Parkinson’s are at high risk for aspiration when receiving enteral feedings, as they may not adequately protect their airway.
Choice D reason: Systemic lupus erythematosus affects multiple organ systems but does not directly impair swallowing or airway protection. It is not a primary risk factor for aspiration during tube feedings.
Correct Answer is B
Explanation
Choice A reason: Heat should not be applied during the first 24 hours after a sprain because it increases blood flow and swelling. Cold therapy (ice packs) is recommended initially to reduce inflammation. This option is incorrect.
Choice B reason: Wrapping the affected extremity with a compression dressing is part of the RICE protocol (Rest, Ice, Compression, Elevation), which is the standard treatment for sprains. Compression helps reduce swelling and provides support. This is the correct answer.
Choice C reason: Acetaminophen is effective for pain but does not reduce inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are preferred for managing both pain and inflammation in sprains. Therefore, this option is incorrect.
Choice D reason: Advising the client to begin walking 4 hours after the injury is unsafe. Early ambulation can worsen tissue damage and swelling. Rest is recommended initially, followed by gradual weight-bearing as tolerated. This option is incorrect.
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