A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?
Physical therapist
Recreational therapist
Occupational therapist
Speech therapist
The Correct Answer is C
Choice A rationale
A physical therapist focuses on improving a client’s movement, mobility, and function, and relieving pain. They may not specialize in helping clients with difficulties using utensils during meals.
Choice B rationale
A recreational therapist uses a variety of modalities, including arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings to help maintain or improve a patient’s physical, social, and emotional well-being. However, they may not be the best fit for a client having difficulty using utensils during meals.
Choice C rationale
An occupational therapist specializes in helping people regain, develop, and build skills that are important for independent functioning, health, and well-being. They can provide strategies and make recommendations for adaptive equipment, such as specially designed utensils, to
help the client with Parkinson’s disease eat more independently. Therefore, referring the client to an occupational therapist would be the most beneficial.
Choice D rationale
A speech therapist specializes in the evaluation and treatment of communication disorders and swallowing disorders. While they could assist if the client had difficulties with swallowing, they may not be the best fit for a client having difficulty using utensils during meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to prepare for a colonoscopy by cleaning out the colon, drinking full liquids until 6 hours before the procedure may not be recommended. The colon needs to be empty to allow the doctor to view it clearly during the colonoscopy. Therefore, this choice is incorrect.
Choice B rationale
Moderate sedation is often used during a colonoscopy. This means you’ll be relaxed and somewhat drowsy, but you’ll still be awake. You might not remember much about the actual procedure because of the sedative. Therefore, this choice is correct.
Choice C rationale
During a colonoscopy, you will likely start by lying on your left side. However, you may be asked to adjust your position during the procedure to allow the doctor to better examine certain parts of your colon. Therefore, this choice is incorrect.
Choice D rationale
Warming the liquid bowel preparation before drinking it is not typically recommended. The bowel preparation involves drinking a solution that helps clear out the colon, but it doesn’t need to be warmed. Therefore, this choice is incorrect.
Correct Answer is D
Explanation
Choice A rationale
Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.
Choice B rationale
A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.
Choice C rationale
A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.
Choice D rationale
No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.
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