A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with ADLs, such as cooking and eating. The nurse should ensure that the client has a referral to which of the following members of the interprofessional team?

Alternative care provider

Nutritionist

Occupational therapist

Dentist

Answer and Explanation

The Correct Answer is C

Rationale:

A. Alternative care provider: An alternative care provider may offer complementary therapies such as acupuncture or herbal treatments, but they are not specifically trained to assist with functional difficulties related to ADLs.

B. Nutritionist: A nutritionist can help manage diet and nutritional concerns, however, they do not specialize in helping clients adapt to challenges with cooking and eating caused by joint stiffness or pain.

C. Occupational therapist: An occupational therapist specializes in helping individuals adapt to physical limitations that interfere with daily living tasks. They can assess the client's needs and provide strategies, tools, and exercises to enhance independence with activities such as cooking and eating.

D. Dentist: A dentist focuses on oral health and is not involved in helping clients manage limitations in performing ADLs. This referral would be unrelated to the client's current difficulty managing tasks due to rheumatoid arthritis.

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Correct Answer is D

Explanation

Rationale:

A. Docusate: Docusate is a stool softener that does not interfere with coagulation or increase bleeding risk. It is often safely used in clients taking anticoagulants to prevent straining during bowel movements, which is especially important in post-operative or cardiovascular patients.

B. Cimetidine: While cimetidine may interact with some medications metabolized by the liver, it does not significantly affect bleeding risk when used with enoxaparin. However, it should still be used cautiously due to potential drug interactions and altered metabolism.

C. Calcium supplement: Calcium supplements do not interfere with the anticoagulant action of enoxaparin. They are commonly used for bone health and are generally safe, provided they are taken at recommended doses without excessive vitamin D.

D. Garlic: Garlic, especially in supplement form, can have antiplatelet effects and may increase the risk of bleeding when taken with anticoagulants like enoxaparin. Clients should be advised to avoid herbal products like garlic, ginkgo, or ginseng without provider approval.

A. Ask the client's partner to sign as next of kin. B. Document the client's refusal in their medical record. C. Check to see if the client has an advance directive. D. Ask the provider to explain the procedure through an interpreter.

Correct Answer is D

Explanation

Rationale:

A. Ask the client's partner to sign as next of kin: The partner cannot legally provide informed consent on behalf of the client unless they have legal power of attorney. Consent must come from the client unless they are incapacitated.

B. Document the client's refusal in their medical record: While documentation is important, it should only occur after ensuring the client fully understands the procedure. Without effective communication, refusal may not be informed.

C. Check to see if the client has an advance directive: Advance directives guide care if the client is incapacitated but may not apply if the client is alert and able to make decisions about the current procedure.

D. Ask the provider to explain the procedure through an interpreter: Using a professional interpreter ensures clear communication so the client can make an informed decision about the cesarean birth, respecting autonomy and reducing misunderstanding.

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A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with ADLs, such as cooking and eating. The nurse should ensure that the client has a referral to which of the following members of the interprofessional team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the- counter products as unsafe for use with enoxaparin?

Correct Answer is D

Explanation

A nurse is speaking with the partner of a client who speaks a different language than the nurse. The partner tells the nurse that the client does not want to sign an informed consent for an urgent cesarean birth. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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