A nurse is caring for a client who has difficulty holding utensils while eating. The nurse should obtain a referral for which of the following members of the interprofessional team?

Occupational therapist

Physical therapist

Dietitian

Social worker

Answer and Explanation

The Correct Answer is A

A. Occupational therapist. An occupational therapist is the appropriate specialist to assess and assist with fine motor skills and daily living activities, such as eating. They can provide adaptive equipment and training to help the client maintain independence and improve quality of life.
B. Physical therapist. A physical therapist focuses primarily on gross motor skills, mobility, and physical strength, not fine motor control necessary for holding utensils. They are more involved in rehabilitation related to ambulation and transfers.
C. Dietitian. A dietitian helps develop nutritionally appropriate meal plans based on medical conditions and dietary needs. However, they do not address the client’s ability to physically manage eating tools or self-feed.
D. Social worker. A social worker provides support with emotional, financial, and community resources, but does not assist with the physical or mechanical aspects of daily tasks like feeding. They may coordinate care but not deliver direct therapy for motor challenges.

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

Explanation

A. Potential complications. The provider is responsible for informing the client of possible risks and complications associated with the procedure. This ensures the client understands what to expect and can make an informed decision.
B. Cost of the procedure. While cost is an important consideration, it is not part of the informed consent process that the provider must explain. Financial discussions are typically handled by billing or administrative personnel.
C. Possible alternative treatments. Informed consent includes a discussion of reasonable alternatives so the client can weigh all available options. This allows for autonomous decision-making regarding their care.
D. Explanation of the procedure. The provider must describe the nature and details of the procedure, including what it involves and how it will be performed. This ensures the client understands what they are consenting to.
E. Expected outcome of the procedure. Clients should be informed of the anticipated results and benefits of the surgery. This helps set realistic expectations and supports informed decision-making.

A. Trochanter roll B. Abduction pillow C. Sheepskin heel pad D. Footboard

Correct Answer is D

Explanation

A. Trochanter roll. This device is used to prevent external rotation of the hips, especially in clients who are immobile or lying supine. It does not support the feet or ankles and does not prevent plantar flexion.
B. Abduction pillow. An abduction pillow is placed between the legs to maintain proper hip alignment, particularly after hip surgery. It is not designed to prevent foot drop or plantar flexion contractures.
C. Sheepskin heel pad. This provides skin protection and pressure relief to prevent pressure ulcers on the heels. While useful for comfort and skin integrity, it does not keep the foot in a neutral position to prevent contractures.
D. Footboard. A footboard is placed at the foot of the bed to help maintain the foot in dorsiflexion, thereby preventing plantar flexion contractures (also known as foot drop). It supports proper alignment and is the most appropriate device for this purpose in clients with limited mobility.

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A nurse is caring for a client who has difficulty holding utensils while eating. The nurse should obtain a referral for which of the following members of the interprofessional team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is D

Explanation

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