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 B

Explanation

Rationale:

A. A middle adult man: Although some adults up to age 45 can receive the HPV vaccine based on shared decision-making, routine vaccination is not typically initiated in middle adulthood. The vaccine is most effective when given prior to exposure to HPV, ideally during adolescence.

B. A teenage boy: The HPV vaccine is routinely recommended for all adolescents, including boys, starting at ages 11 to 12, with catch-up vaccination through age 26 if not previously vaccinated. It helps prevent various HPV-related cancers and is most effective when administered before sexual activity begins.

C. An older adult woman: HPV vaccination is not routinely recommended for individuals older than 26. While it may be considered up to age 45 in certain situations, it is less beneficial after potential HPV exposure, and routine administration in this age group is not advised.

D. A preschool-age girl: The HPV vaccine is not recommended for children under 9 years old. Initiating the vaccine too early is not effective or necessary, as the immune system response and timing related to potential HPV exposure are best addressed in early adolescence.

A. Cleanse the most contaminated wounds first. B. Use hydrogen peroxide for wound cleaning C. Perform dressing changes every other day. D. Apply dressings with sterile gloves

Correct Answer is D

Explanation

Rationale:

A. Cleanse the most contaminated wounds first: Wound care should begin with the cleanest area and progress to the most contaminated to reduce the risk of cross-contamination. Starting with the dirtiest wounds may spread infection to cleaner sites.

B. Use hydrogen peroxide for wound cleaning: Hydrogen peroxide can damage healthy tissue and delay healing. It is generally not recommended for burn wound care due to its cytotoxic effects on granulating tissue.

C. Perform dressing changes every other day: Dressing frequency depends on the type of burn, wound condition, and healthcare provider's orders. Some burn wounds require daily or even more frequent changes to prevent infection and promote healing.

D. Apply dressings with sterile gloves: Sterile technique is critical in burn care to prevent infection. Using sterile gloves during dressing application ensures the wound is protected from external contaminants during a vulnerable healing phase.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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