A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
The client needs to have someone provide teaching about prescribed diet.
The client needs to have range-of-motion exercises to assist with ambulation,
The client needs to have someone provide teaching about home oxygen.
The client needs to arrange financial resources to purchase medications.
The Correct Answer is D
Rationale:
A. Teaching about a prescribed diet is within the scope of practice of a dietitian or nurse. They can provide instructions on dietary modifications, restrictions, and nutritional counseling, which do not require a social worker’s involvement.
B. Assisting with range-of-motion exercises is part of physical therapy or nursing care. Physical therapists assess and implement mobility and exercise programs to improve function and prevent complications such as pneumonia or deep vein thrombosis.
C. Teaching about home oxygen is typically managed by a nurse or respiratory therapist, who can educate the client and family on safe oxygen use, maintenance of equipment, and monitoring oxygen saturation at home.
D. Arranging financial resources to purchase medications is an appropriate reason to involve a social worker. Social workers help clients identify and access financial assistance programs, insurance benefits, or community resources. They also provide guidance on navigating healthcare systems and overcoming socioeconomic barriers that might affect the client’s adherence to treatment and overall recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. An injured ankle with severe pain is important to assess for fractures or soft tissue injury, but it is not immediately life-threatening. This client can safely wait after more urgent cases are addressed.
B. An older adult with dyspnea and a respiratory rate of 26/min is showing signs of respiratory compromise. Airway and breathing problems are life-threatening and take priority according to the ABC (Airway, Breathing, Circulation) framework. Prompt assessment and intervention are required to prevent deterioration.
C. A toddler with a small head laceration that is oozing dark red blood requires attention, but the amount of bleeding described is not severe enough to be immediately life-threatening. The wound can be treated after more urgent respiratory concerns are addressed.
D. An adult with large ecchymoses on both legs may have a bleeding or clotting disorder, but without signs of active bleeding, airway compromise, or hemodynamic instability, this is less urgent than respiratory distress.
Correct Answer is B
Explanation
Rationale:
A. Grasping the cord when unplugging equipment is unsafe because it can damage the cord or plug and increase the risk of electric shock. Equipment should be unplugged by holding the plug itself.
B. Oxygen cylinders must be secured in an upright position to prevent them from falling over, which can cause injury or cylinder damage. This statement reflects correct understanding of safe equipment use.
C. Cleaning equipment while it is plugged in is unsafe and can result in electric shock. Equipment should always be unplugged before cleaning.
D. When using a fire extinguisher, the correct sequence is pull the pin, aim at the base of the fire, squeeze the handle, and sweep side to side (PASS). The newly licensed nurse’s statement reverses the correct order, indicating a misunderstanding.
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