A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?

Speech Therapist

Registered Dietician

Physical Therapist

Occupational Therapist

Answer and Explanation

The Correct Answer is D

A) Speech Therapist: A speech therapist typically works with clients who have communication or swallowing disorders. While they may be involved in assessing and managing difficulties with swallowing, they are not the primary professionals for addressing issues related to hand function or fine motor skills, which are crucial for self-feeding in clients with rheumatoid arthritis.

B) Registered Dietician: A registered dietician is responsible for assessing and planning nutritional needs, which may include recommending dietary modifications for overall health and well-being. However, they do not specifically address the mechanical or functional aspects of eating, such as difficulties due to pain and hand deformities in rheumatoid arthritis.

C) Physical Therapist: Physical therapists focus on improving gross motor function, mobility, and physical strength. While they may help with general mobility and exercise plans to reduce pain and improve joint function, they are not specialists in the fine motor skills and adaptive strategies needed for activities of daily living, such as self-feeding.

D) Occupational Therapist: Occupational therapists specialize in helping clients regain and improve their ability to perform daily activities, particularly those involving fine motor skills. They are well-suited to address issues like pain management, joint protection techniques, and the use of adaptive equipment for self-feeding in clients with rheumatoid arthritis. They work on enhancing the client’s functional independence despite physical limitations.

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Correct Answer is D

Explanation

A) Covering the client with a blanket:

Covering the client with a blanket may help manage chills, but it does not address the underlying cause of the symptoms. Stopping the transfusion takes precedence in ensuring patient safety.

B) Assessing the client's skin for a rash:

Assessing for a rash can help determine if an allergic reaction is occurring, but the priority is to stop the transfusion to prevent further complications and address the immediate risk.

C) Notifying the provider:

Notifying the provider is important for reporting and further management, but the immediate action should be stopping the transfusion to prevent potential adverse effects.

D) Stopping the transfusion:

Stopping the transfusion is the priority action as it addresses the immediate risk of a transfusion reaction, such as an allergic reaction or transfusion-related infection. This action helps prevent further complications and ensures the client's safety.

A. Ribs B. Apple C. Ground beef D. Corn on the cob

Correct Answer is C

Explanation

A) Ribs: Ribs are typically not suitable for a mechanical soft diet because they are tough and require chewing. Mechanical soft diets are designed for individuals who have difficulty chewing or swallowing solid foods.

B) Apple: Apples are generally too hard and crunchy for a mechanical soft diet, which is intended to include softer, easier-to-chew foods.

C) Ground beef: Ground beef is appropriate for a mechanical soft diet because it is easier to chew and swallow compared to whole cuts of meat. It is typically tender and does not require extensive chewing.

D) Corn on the cob: Corn on the cob is not suitable for a mechanical soft diet due to its tough and fibrous texture, which can be difficult to chew and swallow for individuals on this type of diet.

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A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. What is the nurse's PRIORITY action to complete?

Correct Answer is D

Explanation

A nurse is caring for a client who is prescribed a mechanical soft diet. Which food choice would be appropriate for this client to have included in their diet?

Correct Answer is C

Explanation

﻿A nurse is assessing a client with a sodium level of 116 mEq/L (135-145 mEq/L). Which finding should the nurse expect for this client to have?

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A nurse is teaching a client about foods that are included on a clear liquid diet. Which food choice would be appropriate for this client?

A nurse is providing nutritional education to a client recently diagnosed with high cholesterol. The nurse should provide the client with which statements regarding their diet restrictions?

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