20) A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Occupational therapy

Social services

Home health

Physical therapy

Answer and Explanation

The Correct Answer is B

a.   Occupational therapy focuses on assisting individuals in performing activities of daily living and may not directly address wheelchair mobility needs.
b.   Social services may provide assistance with community resources and support including sourcing for a wheelchair.
c.   Home health services may provide skilled nursing care in the home but may not directly address wheelchair mobility needs.
d.   Physical therapy specializes in mobility and rehabilitation but arent the best placed to provide the client with resources on access to a wheelchair.

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Correct Answer is A

Explanation

a. Anorexia nervosa is a complex psychiatric disorder, and the client would benefit from the expertise of a mental health counselor to address underlying psychological issues.
b. Nutritional therapy is crucial in the treatment of anorexia nervosa to address malnutrition and establish healthy eating habits.
c. While physical therapy may be necessary in some cases, it is not typically the primary focus of care for clients with anorexia nervosa.
d. A case manager may assist with coordinating care, but they may not have the specialized knowledge required to address the specific needs of a client with anorexia nervosa.
e. An occupational therapist focuses on helping clients perform activities of daily living and may not be directly involved in the treatment of anorexia nervosa unless there are specific functional limitations that need addressing.

A. A client who is postoperative following a laminectomy 12 hour and is unable to void B. A client who is scheduled for a tubal ligation in 2 hours and is crying C. A client who has peripheral vascular disease and has an absent pulse in the right foot D. A client who has type 1 diabetes and needs the first dressing change for an ulcer

Correct Answer is C

Explanation

A. Postoperative urinary retention is common after surgery, especially within the first 12 hours. While this requires monitoring and possible intervention, it is not the highest priority.
B. Emotional distress before surgery is important to address, but it is not an immediate physiological concern requiring urgent intervention.
C. An absent pulse in the right foot indicates potential acute arterial occlusion, which is a medical emergency. This condition can lead to tissue ischemia and necrosis if not treated promptly. Immediate intervention is needed to restore circulation.
D. A dressing change for a diabetic ulcer is important for wound healing and infection prevention, but it does not take priority over a potential loss of circulation.

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20) A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client's care?

Correct Answer is A

Explanation

A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

Correct Answer is C

Explanation

A nurse in a long-term care facility is caring for a client who reports that the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?

A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance?

42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?