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A nurse is caring for a client who has had a stroke and is having difficulty with dressing and toileting. With which of the following therapists should the nurse schedule a referral for the client?

A.

Speech therapist

B.

Occupational therapist

C.

Physical therapist

D.

Recreational therapist

Answer and Explanation

The Correct Answer is B

A. "Speech therapist" – 
A speech therapist helps clients with swallowing difficulties (dysphagia) and communication impairments but does not focus on activities of daily living (ADLs) like dressing and toileting.
B. "Occupational therapist" – 
An occupational therapist assists clients in regaining independence with ADLs, such as dressing, toileting, and bathing, by teaching adaptive techniques and recommending assistive devices.
C. "Physical therapist" – 
A physical therapist focuses on improving mobility, strength, and balance but does not specifically address dressing and toileting tasks.
D. "Recreational therapist" – 
A recreational therapist works on improving the client’s quality of life through leisure activities and social engagement, not basic self-care tasks.


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Related Questions

Correct Answer is A

Explanation

A. "Arrange to perform all nonessential tasks for the client at one time."
Grouping nonessential tasks reduces frequent disruptions, allowing the client to rest more effectively, which is essential for recovery.
B. "Encourage the client to sleep as much as possible during the day."
Excessive daytime sleeping can disrupt the client’s sleep-wake cycle, leading to difficulty sleeping at night.
C. "Perform routine hygiene for the client during the night."
Performing hygiene tasks at night can disturb the client’s rest and impact recovery.
D. "Remove limits on visiting hours for the client." Unrestricted visiting hours can increase noise and interruptions, making it harder for the client to get adequate rest.

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

The key pieces of information that indicate the client is at risk for falls include:

  1. Admitted following a fall down approximately five steps – Indicates a recent fall history.
  2. Client's partner reports client possibly hit their head and was a little disoriented for a minute or two – Suggests potential confusion or altered mental status.
  3. Client has a history of falls and orthostatic hypotension per client's partner – A significant risk factor for future falls.
  4. Client uses a walker – Indicates mobility impairment.
  5. Client ordered new glasses following an eye exam last week but has not received them yet – Vision impairment increases fall risk.
  6. Blood pressure: Lying: 130/90 mm Hg, Sitting: 128/88 mm Hg, Standing: 98/60 mm Hg – Orthostatic hypotension (drop in BP upon standing) can cause dizziness and falls.

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