A nurse is caring for a client who has experienced a stroke, decreased weight, and a decreased prealbumin. Which of the following interdisciplinary team members should the nurse anticipate collaborating with about the client's condition?

Occupational therapist

Physical therapist

Dietitian

Respiratory therapist

Answer and Explanation

The Correct Answer is C

A. Occupational therapist: An occupational therapist helps clients regain skills for daily living, such as dressing and grooming. They are not primarily involved in managing nutritional concerns like decreased weight or prealbumin levels.

B. Physical therapist: A physical therapist focuses on mobility, strength, and balance. While essential in stroke recovery, they are not directly responsible for addressing nutritional issues such as decreased weight or prealbumin.

C. Dietitian: A dietitian is the most appropriate team member for managing the client’s decreased weight and prealbumin. They assess nutritional needs and develop plans to address deficiencies, ensuring the client gets adequate nutrition.

D. Respiratory therapist: A respiratory therapist manages breathing and oxygenation. They are not directly involved in addressing nutritional issues such as weight loss or prealbumin levels.

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Correct Answer is D

Explanation

A. Magnetic resonance imaging (MRI) of the abdomen: An MRI is a safe diagnostic procedure for clients with reduced kidney function, as it does not involve the use of nephrotoxic contrast material. This is typically safe for clients with kidney issues.

B. Kidney, ureter, bladder (KUB) radiograph: A KUB radiograph is a simple X-ray of the abdomen and does not involve contrast. It is safe for clients with reduced kidney function and can be used to assess the kidneys and urinary system.

C. Renal ultrasound: A renal ultrasound is a non-invasive imaging procedure that uses sound waves to assess kidney structure and function. It does not require contrast and is safe for clients with reduced kidney function.

D. CT scan with contrast: Contrast material can be nephrotoxic, especially in clients with reduced kidney function. This can lead to contrast-induced nephropathy, which should be avoided or carefully managed in patients with kidney impairment.

A. Administer digoxin by IV bolus. B. Prepare the client for temporary pacing. C. Instruct the client to perform the Valsalva maneuver. D. Perform carotid sinus massage.

Correct Answer is B

Explanation

A. Administer digoxin by IV bolus: Digoxin slows conduction through the AV node and can worsen a complete heart block. It is contraindicated in this condition and may lead to further bradycardia or cardiac arrest.
B. Prepare the client for temporary pacing:Third-degree (complete) heart block results in electrical dissociation between atria and ventricles, leading to dangerously low heart rates and inadequate perfusion. The definitive treatment is temporary pacing to stabilize the cardiac rhythm until permanent pacing can be arranged.
C. Instruct the client to perform the Valsalva maneuver: This maneuver is used to terminate supraventricular tachycardias by stimulating the vagus nerve. It is not indicated in bradyarrhythmias like third-degree heart block and could further lower the heart rate.
D. Perform carotid sinus massage: This is another vagal maneuver used to treat tachycardias, not bradycardias. Performing it in a client with third-degree heart block could dangerously reduce the heart rate further and is therefore inappropriate.

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A nurse is caring for a client who has experienced a stroke, decreased weight, and a decreased prealbumin. Which of the following interdisciplinary team members should the nurse anticipate collaborating with about the client's condition?

Nursing Test Bank

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