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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Raise the drainage bag above the level of the client's abdomen: This would decrease the flow rate of the dialysate. To facilitate proper drainage, the drainage bag should be kept lower than the level of the client's abdomen to allow gravity to assist in the outflow of dialysate.
B. Elevate the client to the high-Fowler's position: Elevating the client to a high-Fowler's position (sitting up at a 90-degree angle) can help improve the flow of dialysate by using gravity to promote better drainage, especially if there is fluid retention in the abdomen.
C. Measure the amount of the dialysate outflow: It's important to measure the dialysate outflow to assess the effectiveness of the dialysis and ensure that the prescribed amount of fluid is being drained. A decrease in outflow could indicate a blockage, kinked catheter, or other complications.
D. Monitor the access site for drainage: While monitoring the access site is important for assessing infection or leakage, a decrease in the dialysate flow rate is not related to drainage from the access site. Therefore, this is not a priority for addressing the decrease in flow rate.
E. Reposition the client onto the other side: Repositioning the client can help resolve any issues with the catheter position, which may be causing the decrease in flow. Moving the client can help improve drainage if the catheter is obstructed or kinked.
Correct Answer is D
Explanation
A. Blood pressure 140/90 mm Hg: This blood pressure reading is elevated but does not specifically suggest a pulmonary embolism (PE). It could be due to other factors such as anxiety or pain, and it is not a primary indicator of PE.
B. Respiratory rate 12/min: A respiratory rate of 12/min is within the normal range (12-20 breaths per minute). A PE typically causes an increased respiratory rate as the body attempts to compensate for impaired oxygenation: normal respiratory rate does not suggest PE.
C. Temperature 40° C (104° F): A fever of 40° C (104° F) is significantly elevated and suggests an infection or inflammation. While a PE can cause mild fever, a temperature of 40° C is more commonly associated with infection rather than a pulmonary embolism.
D. Heart rate 120/min: A heart rate of 120/min is indicative of tachycardia, which is a common response to a pulmonary embolism. The body tries to compensate for reduced oxygenation by increasing heart rate. Tachycardia, along with other symptoms such as shortness of breath and chest pain, is a key indicator of PE.
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