A client who had a stroke is admitted to the neurological floor in a rehabilitation hospital.
Which interdisciplinary team member should the nurse consult to assist with the client's activities of daily living?
Physical therapist.
Case manager.
Occupational therapist.
Social worker.
The Correct Answer is C
Post-stroke rehabilitation necessitates the application of interdisciplinary care coordination principles. Knowledge of the specific scopes of practice for various therapists is required to identify which professional specializes in adapting the environment and teaching techniques for performing essential daily self-care tasks.
Choice A rationale
Physical therapists primarily focus on gross motor skills, such as gait training, balance, and lower extremity strength. While they assist with mobility, they do not specialize in the fine motor tasks or adaptive equipment used for daily self-care activities.
Choice B rationale
Case managers focus on the coordination of care, insurance authorization, and discharge planning. They facilitate the transition between care levels but do not provide the direct clinical therapy needed to improve a client's performance of daily tasks.
Choice C rationale
Occupational therapists specialize in helping clients regain independence with activities of daily living, such as dressing, bathing, and eating. They utilize task modification and adaptive devices to address the fine motor and cognitive deficits following a stroke.
Choice D rationale
Social workers address the psychosocial needs, financial resources, and emotional support systems of the client and family. While they assist with the broader aspects of recovery, they do not have the clinical training to improve physical self-care abilities..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This scenario requires applying advanced cardiac life support protocols for post-arrest arrhythmias. Knowledge of autonomic nervous system pharmacology is essential to identify the specific medication that increases heart rate by blocking parasympathetic vagal inhibition on the sinoatrial node during symptomatic bradycardia.
Choice A rationale
Magnesium sulfate is primarily utilized to treat torsades de pointes or hypomagnesemia. It acts as a calcium channel blocker in myocardial cells but does not specifically increase heart rate for bradycardia when normal sinus rhythm has already been restored.
Choice B rationale
Sodium bicarbonate is administered to treat specific metabolic acidosis or certain drug toxicities during prolonged arrest. It does not possess chronotropic properties and will not increase the heart rate in a client suffering from a symptomatic slow rhythm.
Choice C rationale
Atropine is an anticholinergic drug that inhibits the vagus nerve, effectively increasing the firing rate of the sinoatrial node. It is the first-line medication for symptomatic bradycardia to improve cardiac output and maintain adequate systemic tissue perfusion.
Choice D rationale
Epinephrine is a potent vasopressor and inotrope used primarily during active pulseless arrest. While it increases heart rate, atropine is specifically indicated first for a restored rhythm that remains slow and symptomatic before progressing to more powerful infusions.
Correct Answer is D
Explanation
Accurate estimation of burn size is critical for fluid resuscitation and metabolic support. This scenario requires applying the Rule of Nines, which assigns specific percentages to body regions to quantify the total body surface area affected by thermal injury.
Step 1 is 18 percent for the entire back area.
Step 2 is 18 percent for the anterior and posterior surfaces of the right leg.
Step 3 is 18 percent for the anterior and posterior surfaces of the left leg.
Step 4 is 9 percent for the left arm.
Step 5 is 18 + 18 + 18 + 9 = 63 percent total body surface area.
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