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
Respiratory therapist
Dietitian
Physical therapist
The Correct Answer is C
A. Occupational therapists focus on improving daily living activities but do not directly address nutritional status.
B. Respiratory therapists manage breathing and airway issues, not nutrition.
C. Dietitians specialize in assessing nutritional status and creating dietary plans, making them the appropriate team member to collaborate with regarding weight loss and low prealbumin.
D. Physical therapists focus on mobility and strength, not nutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F","G"]
Explanation
A. Temperature: Normal at 36.8° C (98.3° F). No fever; does not require follow-up.
B. Breath sounds: Clear bilaterally; no respiratory compromise. Does not require follow-up.
C. Hematocrit: Low Hct (32%) indicates anemia. Requires follow-up to determine cause and severity, and to initiate appropriate treatment (iron, B12, or both).
D. Activity level: Client reports fatigue and difficulty keeping up with grandchildren. This is a functional indicator of anemia severity and needs follow-up for safety and treatment planning.
E. Oxygen saturation: Normal at 97% on room air. No immediate concern; does not require follow-up.
F. Iron level: Low ferritin (15 ng/mL) confirms iron-deficiency anemia. Follow-up is needed to address nutritional deficits and consider supplementation.
G. Blood pressure: Low BP (93/62 mm Hg) may be related to anemia-induced decreased oxygen-carrying capacity, hypovolemia, or chronic illness. Requires follow-up to prevent syncope or falls.
Correct Answer is ["C","D"]
Explanation
A. Capillary refill: Normal (<3 seconds). Not an emergency and does not require immediate follow-up.
B. Blood pressure: Stable: 98/64 → 104/70 mm Hg. No signs of shock or hemodynamic instability.
C. Potassium: K+ 7.1 mEq/L is critical, life-threatening hyperkalemia. This level can quickly progress to ventricular fibrillation or asystole. Requires immediate emergency treatment, such as IV calcium gluconate (stabilizes cardiac membrane), IV regular insulin + dextrose, and Kayexalate, diuretics (if appropriate), or dialysis
D. ECG: ECG shows peaked T waves and widened QRS, which are hallmark signs of impending lethal arrhythmia from hyperkalemia. Worsening QRS widening can lead to ventricular tachycardia which can progress to ventricular fibrillation and cardiac arrest. Requires urgent intervention immediately.
E. Oxygen saturation: Normal at 97% on room air. No respiratory distress.
F. Breath sounds: Clear bilaterally. No evidence of pulmonary compromise. Not a priority compared to life-threatening hyperkalemia.
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