A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?
Occupational therapist
Physical therapist
Social worker
Primary care provider
The Correct Answer is C
Choice A Reason:
An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.
Choice B Reason:
Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.
Choice C Reason:
A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.
Choice D Reason:
Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.
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Related Questions
Correct Answer is C
Explanation
c. Physical assessment findings
Physical assessment findings are important to include in a referral for a physical therapist because they provide information about the client's current physical condition, including range of motion, strength, and any areas of pain or discomfort.
This information is essential for the physical therapist to develop an appropriate treatment plan for the client. Family medical history and medical health insurance claims may be important for overall client care, but are not directly relevant to a referral for a physical therapist.
Medications taken prior to admission may be relevant if they affect the client's physical abilities or pain level, but again, physical assessment findings are more directly related to the referral for a physical therapist.
Correct Answer is B
Explanation
Choice A Reason:
Keeping legs in a dependent position (hanging down) is generally not recommended after vein stripping surgery, as it can increase swelling. Elevation of the leg is often recommended to reduce swelling and improve blood flow.
Choice B Reason:
Wrapping the leg with an elastic bandage is correct. When providing discharge teaching to a client who has undergone vein stripping of the right leg, the nurse should include instructions for post-operative care. Wrapping the leg with an elastic bandage is a common practice to help reduce swelling, provide support to the leg, and promote healing. Proper application of the bandage helps with compression and prevents complications like hematoma formation.
Choice C Reason:
Maintaining bed rest for 48 hours is not typically required after vein stripping surgery. Early ambulation and movement are encouraged to prevent blood clots and promote healing.
Choice D Reason:
Implementing a sodium-restricted diet is not directly related to post-operative care for vein stripping surgery. Dietary restrictions should be discussed with a healthcare provider, but they are not a routine part of post-operative instructions for this procedure.
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