A nurse is participating in an interdisciplinary conference for a client who is being discharged to home following a stroke. Which of the following information should the nurse report to the social worker?
The client needs assistance with learning to eat with the opposite hand.
The client will require a wheelchair for use in the home.
The client needs assistance with paying medical bills.
The client will require a prescription for home on therapy
The Correct Answer is C
A. The client needs assistance with learning to eat with the opposite hand: This is an aspect of rehabilitation and occupational therapy, focusing on adaptive techniques for daily living. It is not within the social worker’s primary role, so this information should be directed to therapy services.
B. The client will require a wheelchair for use in the home: Equipment needs such as wheelchairs are usually coordinated through physical therapy or case management. While the social worker may assist with resources, the primary focus is on functional mobility, which is addressed by therapy services.
C. The client needs assistance with paying medical bills: Financial assistance, insurance navigation, and access to community resources are within the social worker’s scope of practice. Reporting this need ensures the client receives support for managing medical expenses and continuity of care at home.
D. The client will require a prescription for home therapy: Prescriptions for home health services fall under the provider’s and therapy team’s responsibilities. The social worker may support logistics, but the primary coordination of therapy prescriptions is not their role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Maintain foot above the level of the head: Elevating the foot above heart level, not the head, helps reduce swelling and promote venous return. Elevation above the head is unnecessary and may be uncomfortable or impractical.
B. Expect numbness and tingling for the first 24 hr: Persistent numbness or tingling is not a typical response to a sprain and may indicate neurovascular compromise. Any unusual sensations should be reported to a healthcare provider promptly.
C. Apply ice on the ankle for 20 min intervals: Applying ice for 20-minute intervals is a standard first-aid measure to reduce pain and swelling in acute sprains. Ice should be applied with a protective barrier to prevent skin damage, making this an essential component of home care.
D. Perform range of motion exercises for the affected joint: Early aggressive range of motion exercises may exacerbate the injury. Initial management focuses on rest, ice, compression, and elevation (RICE), with gradual mobilization introduced once acute pain and swelling decrease.
Correct Answer is A
Explanation
A. Turn off the heparin drip: The client’s aPTT is significantly elevated and is accompanied by active bleeding, indicated by hematuria. Stopping the heparin infusion is the most immediate action because it removes the source of ongoing anticoagulation and helps prevent further bleeding. This stabilizes the situation before additional corrective measures are taken.
B. Administer protamine sulfate: Protamine sulfate is the reversal agent for heparin and may be required, but it should be given after the heparin infusion is stopped. Administering it without stopping the drip allows continued anticoagulation, reducing the effectiveness of the reversal. The reversal medication is a secondary intervention.
C. Repeat the aPTT now and in 1 hr: Rechecking coagulation labs is appropriate to monitor progress, but it does not address the immediate risk of ongoing bleeding. Delaying action while repeating labs can allow further anticoagulation and worsening hemorrhagic symptoms. Lab monitoring becomes relevant only after the heparin drip is stopped.
D. Obtain a portable chest x-ray: A chest x-ray would not address the current problem of excessive anticoagulation and active bleeding. There is no indication of a thoracic complication requiring imaging at this moment, and performing this step would delay urgent action. The priority is to stop the heparin and control bleeding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.