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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Securing oxygen tubing to the bed sheet is not appropriate; tubing should remain free to avoid dislodgement or kinking.
B. Attaching a humidifier bottle is correct when oxygen is delivered at 4 L/min or higher to prevent drying of the mucous membranes.
C. The nasal cannula should remain in place while the client eats if possible; if removed, oxygen therapy should be promptly resumed.
D. Petroleum jelly should not be used near oxygen equipment due to the fire hazard; a water-soluble lubricant should be used instead if needed.
Correct Answer is C
Explanation
Rationale:
A. Improvement with antihistamines is characteristic of allergic asthma, not nonallergic asthma.
B. Symptoms triggered by pollen exposure indicate allergic asthma.
C. Wheezing and shortness of breath during exercise is a hallmark of nonallergic (exercise-induced) asthma, which is triggered by physical activity rather than allergens.
D. Symptoms occurring only during spring and fall are linked to seasonal allergic asthma, not nonallergic asthma.
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