A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
I need some help planning my meals to maintain my weight
I'm having difficulty climbing the stairs at my house
I'm tired of having pain in my joints all the time
I need assistance with bathing
The Correct Answer is D
The correct answer is: d. I need assistance with bathing
Choice A Reason:
"I need some help planning my meals to maintain my weight" is not an indication for a referral to an occupational therapist. This statement is more relevant to a dietitian, who specializes in nutrition and meal planning. Dietitians can help clients with rheumatoid arthritis maintain a healthy weight, which is important for managing the disease, but this does not fall under the scope of occupational therapy.
Choice B Reason:
"I'm having difficulty climbing the stairs at my house" is not an indication for a referral to an occupational therapist. This statement suggests a need for physical therapy, as physical therapists focus on improving mobility, strength, and balance. They can provide exercises and strategies to help clients navigate stairs and other physical challenges.
Choice C Reason:
"I'm tired of having pain in my joints all the time" is not an indication for a referral to an occupational therapist. This statement is a general complaint about pain, which would be managed by the primary care provider or rheumatologist. They can adjust medications and provide treatments to help manage the pain associated with rheumatoid arthritis.
Choice D Reason:
"I need assistance with bathing" is an indication for a referral to an occupational therapist. Occupational therapists help clients with activities of daily living (ADLs), such as bathing, dressing, and eating. They can provide adaptive equipment and techniques to help clients perform these tasks more independently and safely. This statement indicates a decline in the client's ability to perform ADLs, which is a key reason for referring to an occupational therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Having the client sign a consent for treatment is not appropriate because the client is disoriented and cannot give informed consent.
Choice B reason: Notifying risk management before initiating treatment is not necessary because the nurse is acting in the best interest of the client and following the emergency doctrine, which allows for treatment without consent in life-threatening situations.
Choice C reason: Proceeding with treatment without obtaining written consent is the best action because the client has a cardiac arrhythmia, which is a potentially fatal condition that requires immediate intervention.
Choice D reason: Contacting the client's next of kin to obtain consent for treatment is not feasible because it may delay the treatment and endanger the client's life. The nurse should attempt to contact the next of kin after stabilizing the client.
Correct Answer is A
Explanation
Choice A reason: Using a pain rating scale to monitor a client's pain level is a task that the nurse can delegate to an assistive personnel, as it does not require clinical judgment or specialized skills. The assistive personnel can report the pain score to the nurse, who can then adjust the pain management plan accordingly.
Choice B reason: Instructing a client on self-administration of a tap water enema is a task that the nurse cannot delegate to an assistive personnel, as it requires teaching and evaluation skills. The nurse should instruct the client on the procedure, the rationale, and the expected outcomes, and assess the client's understanding and ability to perform the task.
Choice C reason: Performing a dressing change on a client's peripherally inserted central catheter is a task that the nurse cannot delegate to an assistive personnel, as it requires sterile technique and infection control skills. The nurse should perform the dressing change according to the facility protocol, and monitor the site for any signs of complications.
Choice D reason: Suctioning a client's long-term tracheostomy is a task that the nurse cannot delegate to an assistive personnel, as it requires advanced airway management skills. The nurse should suction the client's tracheostomy as needed, and observe the client for any signs of respiratory distress.
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