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A nurse in a walk-in clinic is caring for a client.

Which of the following six findings should the nurse report to the provider? Select the 6 findings that require immediate follow-up.

1300:

Temperature 39.1° C (102.4° F)

Heart rate 115/min

Respiratory rate 30/min

Blood pressure 99/58 mm Hg

Oxygen saturation 93% on room air

1330:

Temperature 39.2° C (102.5° F)

Heart rate 118/min

Respiratory rate 28/min

Blood pressure 91/52 mm Hg

Oxygen saturation 95% on 2 L/min nasal cannula

Heart rate

Skin turgor

Temperature

Heart sounds

Blood pressure

COVID test results

Orientation

Lung sounds

Temperature 39.1° C (102.4° F)

Blood pressure

Skin turgor

Temperature 39.2° C (102.5° F)

COVID test results

Answer and Explanation

The Correct Answer is ["A","D"]

Temperature 39.1° C (102.4° F), Temperature 39.2° C (102.5° F)

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","D"]

Explanation

Temperature 39.1° C (102.4° F),Temperature 39.2° C (102.5° F)

A. Registered dietician B. Speech-language pathologist C. Occupational therapist D. Physical therapist

Correct Answer is C

Explanation

Choice A reason:
A registered dietitian is not appropriate as he or she can provide nutritional assessment and guidance to ensure the client's dietary needs are met.
Choice B reason:
A speech-language pathologist is not appropriate because it is crucial for addressing communication and swallowing difficulties that can arise from a stroke.
Choice C reason:
Occupational therapy is the right choice. Clients who have had a stroke often experience difficulties with activities of daily living (ADLs) due to the physical and cognitive changes that can result from the stroke. Occupational therapists are specialized in helping individuals regain or develop the skills needed to perform daily activities and tasks. They can assist stroke survivors in regaining independence in activities such as dressing, grooming, bathing, and feeding.
Choice D reason:
A physical therapist can assist with mobility and improving physical functioning, but since the question specifically mentions assistance with morning ADLs, the occupational therapist is the most appropriate choice.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D"]

Explanation

A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?

Correct Answer is C

Explanation

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