A nurse is caring for a client following bilateral knee replacement surgery and they require assistance with dressing. The nurse should report this information to which of the following interdisciplinary team members?
Occupational therapist
Respiratory therapist
Social worker
Physical therapist
The Correct Answer is A
A. Occupational therapist: An occupational therapist specializes in helping clients with activities of daily living (ADLs), such as dressing, grooming, and bathing. An occupational therapist can assist in creating strategies or using adaptive equipment to help the client become more independent with dressing.
B. Respiratory therapist: A respiratory therapist focuses on managing respiratory issues and providing treatments like oxygen therapy or breathing exercises. This is not directly related to assisting with dressing, so they are not the appropriate team member for this issue.
C. Social worker: While a social worker can assist with psychosocial issues and discharge planning, they are not typically involved in helping with daily functional tasks like dressing. They would not be the primary provider for this need.
D. Physical therapist: A physical therapist focuses on improving movement, strength, and mobility, particularly related to walking and physical rehabilitation. While they may assist with mobility following surgery, they are not primarily focused on ADLs like dressing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F"]
Explanation
A. Heart rate: The client's heart rate increased significantly from 66/min to 104/min within 30 minutes of antibiotic administration. This tachycardia, especially in the context of other alarming symptoms, can indicate a compensatory mechanism for hypoperfusion due to vasodilation, a common feature of anaphylaxis.
B. Blood pressure: The client’s blood pressure has dropped significantly from 108/56 mm Hg to 88/56 mm Hg. Hypotension could be a sign of anaphylactic shock, especially considering the allergic symptoms (urticaria, swelling of the tongue).
C. Breath sounds: The presence of wheezing along with a drop in oxygen saturation (pulse oximetry 93%) is concerning for bronchospasm, which is common in allergic reactions or anaphylaxis. The client may need immediate airway management, including bronchodilators.
D. Urticaria: While urticaria (hives) is a classic sign of an allergic reaction, it is a skin manifestation and not as immediately life-threatening as airway compromise, hypotension, or a compensatory tachycardia.
E. Temperature: The temperature remains within a mild range (37.5°C/99.5°F to 37.6°C/99.7°F). It is slightly elevated but not concerning in the context of an allergic reaction. The temperature should be monitored but does not require immediate follow-up compared to the more critical findings.
F. Swollen tongue: Swelling of the tongue is a serious symptom of an allergic reaction and can lead to airway obstruction. Immediate intervention is required to prevent further complications, such as anaphylaxis, which can be life-threatening.
Correct Answer is B
Explanation
A. "I'm sure your family will be here soon.": While this response tries to reassure the client, it does not address the client’s current feelings or provide immediate support. It might also come across as dismissive since the nurse cannot be sure when the family will arrive.
B. "I will be available for you until your family arrives.": This response acknowledges the client’s anxiety and offers support in the meantime. It shows the nurse’s availability and commitment to making the client feel safe and supported while waiting for their family.
C. "Why do you think your family is delayed?": This question might make the client feel pressured or defensive and focuses on the delay rather than offering reassurance or emotional support. It does not directly address the client’s emotional needs.
D. "You'll feel better once this procedure is over.": While this response aims to reassure the client, it might minimize their current feelings of anxiety. It focuses on the future rather than addressing the immediate emotional needs of the client.
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