A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using utensils while eating at mealtime. For which of the following interdisciplinary team members should the nurse recommend a referral?
Speech therapist
Occupational therapist
Physical therapist
Recreational therapist
The Correct Answer is B
A. Speech therapist: A speech therapist is typically involved in addressing communication and swallowing difficulties, not difficulties with using utensils.
B. Occupational therapist: This is correct as an occupational therapist specializes in helping clients with daily living activities, including fine motor skills and adaptive techniques for using utensils.
C. Physical therapist: Physical therapists focus on improving mobility, strength, and coordination but do not primarily address difficulties with using utensils.
D. Recreational therapist: Recreational therapists focus on leisure activities and hobbies, which are not directly related to the use of utensils for eating.
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Related Questions
Correct Answer is D
Explanation
A. A client who has Alzheimer's disease and requires assistance to the bathroom: This is important but less urgent compared to the risk of worsening condition in a client with a decreased level of consciousness.
B. A client who has diverticulitis and a temperature of 38.3° C (100.9° F): This is a concern, but it is not as immediately critical as a decreased level of consciousness, which may indicate a more severe underlying issue.
C. A client who has a prescription for a sputum specimen to be obtained before breakfast: While important for diagnostic purposes, this is less urgent compared to a decreased level of consciousness.
D. A client who sustained a head injury 2 days ago and has a decreased level of consciousness: This is correct because a decreased level of consciousness in a client with a recent head injury could indicate a serious complication, such as increased intracranial pressure or worsening of their condition, requiring immediate assessment and intervention.
Correct Answer is C
Explanation
A. "Knee-high stockings can be rolled down slightly to provide comfort": Rolling down antiembolic stockings can cause bunching and reduce their effectiveness in preventing deep vein thrombosis. They should fit smoothly without rolling.
B. "I should flex my toes when applying the stockings": To apply the stockings, the toes should be pointed or relaxed, not flexed, to ensure proper application and avoid discomfort.
C. "The thigh-high stockings should reach just above the gluteal folds": This is correct as thigh-high stockings should extend to just above the gluteal folds to ensure proper fit and effectiveness in preventing blood clots.
D. "I should reapply the stockings before I get out of bed": Antiembolic stockings are typically applied in the morning after getting out of bed and should remain on throughout the day. Reapplying before getting out of bed is not necessary.
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