A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team?
The client dresses her affected side first.
The client bears weight on their arms when using crutches.
The client coughs when swallowing her medications.
The client's caregiver fills a pill organizer weekly.
The Correct Answer is C
Choice A reason: The client dressing her affected side first is not a finding that the nurse should report to the interprofessional care team, as it indicates that the client is following the proper technique for dressing after a stroke. Dressing the affected side first helps the client maintain range of motion and prevent contractures of the affected limbs.
Choice B reason: The client bearing weight on their arms when using crutches is not a finding that the nurse should report to the interprofessional care team, as it is a normal and expected way of using crutches. Bearing weight on the arms helps the client balance and support their body weight while walking with crutches.
Choice C reason: The client coughing when swallowing her medications is a finding that the nurse should report to the interprofessional care team, as it indicates that the client may have dysphagia, or difficulty swallowing, which is a common complication of stroke. Dysphagia can increase the risk of aspiration, pneumonia, dehydration, and malnutrition. The nurse should assess the client's swallowing ability and refer them to a speech-language pathologist for further evaluation and intervention.
Choice D reason: The client's caregiver filling a pill organizer weekly is not a finding that the nurse should report to the interprofessional care team, as it is a positive and helpful way of managing the client's medications. Filling a pill organizer weekly can help the client and the caregiver remember the medication names, doses, and schedules, and prevent medication errors or omissions.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.
Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.
Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.
Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.
Correct Answer is D
Explanation
Step-by-Step Incidence Calculation Step 1 is (3,144 ÷ 325,986) = 0.00964292 Step 2 is 0.00964292 × 100,000 = 964.292 Step 3 is rounding 964.292 to the nearest whole number = 964
The closest answer choice to 964 cases per 100,000 population is D.
Answer: D.
Choice A reason: Option A states about 100 reported cases per 100,000 population, which is roughly one-tenth of the calculated rate (964 per 100,000). It underestimates the true incidence by nearly 864 cases per 100,000.
Choice B reason: Option B describes about 1 reported case per 10,000 population, equivalent to 10 per 100,000. This is far below the actual incidence (964 per 100,000) and thus is incorrect.
Choice C reason: Option C suggests about 10 reported cases per 10,000 population, which translates to 100 per 100,000. That remains well under the calculated rate and does not match the data.
Choice D reason: Option D indicates about 1,000 reported cases per 100,000 population. The calculated rate of 964 per 100,000 rounds to approximately 1,000 per 100,000, making this the correct choice.
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