A nurse is caring for a client.
For which of the following interprofessional team members should the nurse anticipate a provider's referral?
(Select all that apply).
Case manager
Respiratory therapist
Diabetes nurse educator
Physical therapist
Occupational therapist
Enterostomal therapy nurse
Correct Answer : A,B,D,E
A. A case manager coordinates and manages the overall care of the client, particularly when there are multiple healthcare needs or transitions in care. Given that the client has just experienced a CVA, the case manager could be crucial in coordinating care, arranging for additional services, and ensuring continuity of care, especially since the client lives alone.
B. The client is experiencing wheezing in the upper lobes of the lungs and is receiving supplemental oxygen. A respiratory therapist would be instrumental in evaluating and managing the client's respiratory status, including optimizing oxygen therapy and addressing any issues related to asthma or lung function.
C. There is no mention of diabetes in the client's history or current symptoms. The focus of the client's care is on managing the effects of the CVA and respiratory issues. Therefore, a referral to a diabetes nurse educator is not indicated based on the provided information.
D. The client has flaccid extremities with decreased muscle tone and strength following the CVA. A physical therapist would be essential for assessing and providing therapy to improve mobility, strength, and function in the affected extremities. This referral is appropriate for addressing the physical impairments resulting from the CVA.
E. The client is having difficulty with self-feeding due to decreased muscle tone and strength, which impacts daily activities. An occupational therapist can help with adaptive techniques and strategies for self-care tasks, such as feeding, and provide interventions to improve the client’s ability to perform daily activities independently. This referral is appropriate for addressing functional challenges related to the CVA.
F. An enterostomal therapy nurse specializes in wound care, ostomy management, and incontinence care. There is no indication in the provided information that the client has any issues related to wounds, ostomies, or incontinence. Therefore, a referral to an enterostomal therapy nurse is not indicated based on the current information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. This involves combining different pieces of information to form a new understanding or solution. Nurses often synthesize information from various sources to develop a comprehensive care plan.
B. This involves judging the value or worth of something. Nurses must constantly evaluate the effectiveness of interventions and patient outcomes.
C. This involves breaking down information into parts to understand its components. Nurses analyze patient data to identify problems and potential solutions.
D. While intuition can play a role in decision-making, it is not a reliable or consistent critical thinking skill. Critical thinking relies on evidence and reasoning, not solely on gut feelings.
E. This involves understanding the meaning of information. Nurses interpret patient cues, laboratory results, and other data to make informed decisions.
Correct Answer is C
Explanation
A. An educator's primary role is to provide knowledge and teach others about health-related topics, procedures, or skills. While analyzing a clinical situation might involve sharing information or educating patients and colleagues, the core function of an educator is to impart knowledge rather than solely analyzing clinical situations.
B. A mentor provides guidance, support, and advice based on their experience and expertise. While mentors might analyze clinical situations as part of their role, their primary focus is on guiding and developing others rather than just analyzing situations.
C. A critical thinker evaluates and interprets information, assessing situations logically and systematically to make sound decisions. Critical thinking is fundamental to effective problem-solving and decision- making in nursing practice.
D. An advocate supports and speaks up for the rights and needs of patients, ensuring their preferences and best interests are considered in care decisions.
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