A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?
Instructing how to measure oxygen saturation
Instructing how to use kitchen tools to prepare a meal
Instructing how to perform pursed-lip breathing
Instruction how to plan a diet based on individual caloric needs
The Correct Answer is B
Rationale:
A. Teaching a client how to measure oxygen saturation is within the nurse’s scope, not the occupational therapist’s.
B. An occupational therapist helps clients adapt daily activities (e.g., using kitchen tools, conserving energy while preparing meals, modifying the home environment) — this is the correct referral.
C. Pursed-lip breathing is a respiratory intervention taught by nurses or respiratory therapists, not occupational therapists.
D. Diet planning is typically managed by a dietitian, not an occupational therapist.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Teaching a client how to measure oxygen saturation is within the nurse’s scope, not the occupational therapist’s.
B. An occupational therapist helps clients adapt daily activities (e.g., using kitchen tools, conserving energy while preparing meals, modifying the home environment) — this is the correct referral.
C. Pursed-lip breathing is a respiratory intervention taught by nurses or respiratory therapists, not occupational therapists.
D. Diet planning is typically managed by a dietitian, not an occupational therapist.
Correct Answer is B
Explanation
Rationale:
A. Deep breathing exercises would help correct respiratory acidosis by eliminating CO₂, but this client has metabolic acidosis.
B. The ABG shows metabolic acidosis (low pH 7.32, low HCO₃⁻ 16, low PaCO₂ as partial compensation). The priority treatment may include IV sodium bicarbonate in severe cases to buffer excess acid.
C. Mechanical ventilation is indicated for respiratory failure, not metabolic acidosis.
D. Oxygen therapy is unnecessary since the PaO₂ is normal (85 mm Hg).
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