A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team?
Speech pathologist
Social worker
Occupational therapist
Registered dietitian
The Correct Answer is C
A. Speech pathologist: Speech pathologists specialize in helping with speech, swallowing, and communication issues, not with adaptive devices for feeding. This role is not appropriate for addressing the difficulty the client is having with feeding.
B. Social worker: A social worker focuses on providing support for emotional, social, and financial challenges. While they may help with psychosocial aspects of a client’s condition, they do not specialize in providing adaptive devices for daily activities.
C. Occupational therapist: Occupational therapists are trained to assess and assist clients in using adaptive devices to improve their ability to perform activities of daily living, such as feeding, dressing, and bathing. The therapist can help the client adjust to the devices and improve independence.
D. Registered dietitian: A registered dietitian focuses on nutritional assessments and planning. While they are essential in managing the client's dietary needs, they would not typically provide assistance with adaptive devices for feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Monitor your temperature daily.": While monitoring temperature can be important, it is not the primary focus for a client with sickle cell anemia after an acute crisis. The main concern should be preventing dehydration and maintaining proper hydration.
B. "Apply cold compresses when they have pain.": Cold compresses can constrict blood vessels, potentially worsening pain during a sickle cell crisis. Heat is generally recommended for pain management in sickle cell anemia, as it helps dilate blood vessels and improve blood flow.
C. "Drink fluids multiple times every day.": Proper hydration is essential in sickle cell anemia to prevent dehydration, which can trigger a sickle cell crisis. Drinking fluids regularly helps maintain blood volume and reduces the risk of vaso-occlusion.
D. "Restrict outdoor activity to 1 hour per day.": There are no specific restrictions on outdoor activity unless the client is experiencing symptoms like fatigue or pain. Encouraging moderate activity, while avoiding extreme temperatures and overexertion, is more beneficial than strict time limits.
Correct Answer is B
Explanation
A. It is primarily transmitted through casual contact: HIV is not transmitted through contact such as shaking hands, hugging, or sharing drinks. This is a misconception; HIV requires direct contact with infected body fluids like blood, semen, vaginal fluids, and breast milk.
B. It is primarily transmitted through direct contact with infected body fluids: HIV is primarily transmitted through contact with infected body fluids, such as through unprotected sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding.
C. It is primarily transmitted through accidental puncture wounds: While accidental puncture wounds can be a risk for healthcare workers, this is not the primary mode of HIV transmission. Most transmissions occur through sexual contact or sharing contaminated needles.
D. It is primarily transmitted through mosquitoes: HIV is not transmitted through mosquitoes or other insects. It is a blood-borne virus and does not survive or replicate in mosquitoes, making this a myth.
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