A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

Suggest participating in a community support group.

Set up appointments for in-home physical therapy.

Request a referral for a home safety assessment.

Provide printed materials for new prescriptions.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Suggesting participation in a community support group is beneficial for emotional support and disease management, but it is not the immediate priority for safety and health maintenance at home.

B. Setting up in-home physical therapy can support mobility and exercise tolerance but is secondary to ensuring the client’s environment is safe for daily living with COPD.

C. Requesting a referral for a home safety assessment is the priority because the client lives alone and has a new chronic respiratory condition. COPD can cause fatigue, shortness of breath, and limited mobility, increasing the risk of falls or injury at home. Ensuring a safe environment addresses immediate safety and prevents adverse events, which takes precedence over other interventions according to Maslow’s hierarchy of needs and nursing prioritization.

D. Providing printed materials for new prescriptions is important for medication adherence, but it does not address the immediate risk of harm in the home environment, making it a lower priority.

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Correct Answer is A

Explanation

Rationale:

A. Scheduling the consultation when the primary nurse can attend ensures effective communication between the care team and the wound care specialist. The nurse can provide accurate, up-to-date information about the client’s condition, treatments, and response to care, which supports continuity and quality of care.

B. Arranging for daily visits by the wound care specialist is not necessary in most cases and could be resource-intensive. Frequency of consultation should be based on the client’s clinical needs rather than a fixed schedule.

C. Providing subjective opinions or beliefs is inappropriate. Consultants require objective, factual information about the client’s condition, such as wound measurements, appearance, and treatment response, to make informed recommendations.

D. Delaying the consultation until after several treatments are tried can risk worsening the pressure injury. Early involvement of a wound care specialist is recommended to promote healing, prevent complications, and optimize outcomes.

A. The client is experiencing dysarthria. B. The client has extreme difficulty swallowing C. The client enjoys helping to prepare meals. D. The client has four new medications.

Correct Answer is C

Explanation

Rationale:

A. Dysarthria is difficulty articulating words due to weakness or poor coordination of the muscles used in speech. This condition is primarily addressed by a speech-language pathologist, who can implement exercises and strategies to improve speech clarity. An occupational therapist does not typically manage speech deficits.

B. Extreme difficulty swallowing (dysphagia) is also within the scope of a speech-language pathologist, not an occupational therapist. Dysphagia interventions include swallowing exercises, texture modification of foods, and strategies to prevent aspiration.

C. Difficulty performing tasks such as preparing meals indicates a limitation in activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Occupational therapists specialize in helping clients regain independence in these functional tasks after neurological events like strokes. The OT can assess the client’s ability to safely cook, clean, dress, and perform other daily tasks, and recommend adaptive equipment, environmental modifications, or techniques to enhance safety and independence.

D. Having four new medications is relevant to medication management and education, which falls under the scope of nursing or pharmacy. It does not indicate a need for occupational therapy referral unless it directly impacts functional performance.

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A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

Correct Answer is A

Explanation

A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

Correct Answer is C

Explanation

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