A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

The client is experiencing dysarthria.

The client has extreme difficulty swallowing.

The client has four new medications.

The client enjoys helping to prepare meals.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Dysarthria (difficulty with articulation) is a speech problem that requires referral to a speech-language pathologist, not an occupational therapist.
B. Difficulty swallowing indicates dysphagia, which also requires referral to a speech-language pathologist, not an occupational therapist.
C. Managing new medications requires teaching and monitoring by the nurse or pharmacist, not an occupational therapist.
D. An occupational therapist (OT) helps clients regain independence in activities of daily living (ADLs) such as cooking, dressing, and grooming. Since the client enjoys meal preparation, the OT can provide strategies and adaptive equipment to help safely resume this meaningful activity.

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Correct Answer is B

Explanation

Rationale:
A. Discussing the risks of the procedure is the provider’s responsibility, not the nurse’s. The provider must ensure informed consent.
B. If the client expresses concerns after signing consent, the nurse should notify the provider immediately so the provider can clarify information, answer questions, and reconfirm consent.
C. The nurse does not have the authority to postpone the procedure; that decision must be made by the provider.
D. Emphasizing the importance of the procedure could be seen as coercive and does not respect the client’s right to informed decision-making.

A. The AP uses alcohol hand antiseptic after caring for a client who has Clostridium difficile. B. The AP wears a mask when caring for a client who has varicella. C. The AP closes the door of a client who is on airborne precautions. D. The AP removes cut flowers from the room of a client who is in a protective environment.

Correct Answer is A

Explanation

Rationale:
A. Alcohol-based hand sanitizer is not effective against C. difficile spores. Hands must be washed with soap and water to physically remove the spores, making this action unsafe and requiring intervention.
B. Wearing a mask when caring for a client who has varicella is appropriate for airborne precautions.
C. Closing the door of a client on airborne precautions helps contain infectious particles and is correct.
D. Removing cut flowers from the room of a client in a protective environment is appropriate to reduce the risk of infection.

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A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for surgery. After signing the consent form, the client tells the nurse that she has concerns about the procedure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is completing a performance evaluation for an assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is A

Explanation

A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles?

A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

A nurse is caring for a group of clients prior to discharge. The nurse should identify that which of the following clients might benefit from a case manager to facilitate continuity of care?

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

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A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?