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
Explanation
A. "Restrict your partner's oral fluid intake to 450 mL/day.": Fluid restriction in ESKD should be individualized based on the client’s kidney function and retention. A strict 450 mL/day limit is not universally applicable.
B. "Limit your partner's potassium intake to 60 mEq/L per day.": Potassium intake is typically restricted in ESKD due to the kidneys' reduced ability to excrete it. The appropriate restriction depends on potassium levels, but generally, it’s advised to limit intake to prevent hyperkalemia and related complications.
C. "Help your partner consume foods containing phosphorus.": Phosphorus intake should be restricted in ESKD, as high phosphorus levels can cause complications like bone disease. Consuming phosphorus-rich foods should be avoided to prevent calcium-phosphorus imbalances and calcification.
D. "Encourage foods high in protein for your partner.": Excess protein intake in ESKD can exacerbate kidney function decline and increase waste buildup. Protein intake should be monitored and reduced to minimize the kidneys’ workload and prevent further damage.
Correct Answer is D
Explanation
A. Perform the reconciliation only at admission and discharge: Medication reconciliation should be performed at all stages of care. It should also be done during transfers between units and at any point where medication changes occur to ensure accuracy and prevent errors.
B. Compare only the prescribed home medications to the new prescriptions: Medication reconciliation requires comparing home medications and any newly prescribed medications. This includes reviewing all medications to identify discrepancies and ensure safety.
C. Delete new prescriptions that may interact with home medications: The nurse should not delete prescriptions. Instead, they should identify potential drug interactions, assess the risks, and notify the healthcare provider to discuss alternatives or adjustments as needed.
D. Consider the risk for medication interactions: The nurse should evaluate the potential for drug interactions by comparing home medications with new prescriptions. This helps to ensure the safety and effectiveness of the client's medication regimen.
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