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 C

Explanation

Rationale:

A. “I will wait 15 minutes before taking a second tablet.": Waiting 15 minutes delays relief and increases the risk of complications. The client should take a second tablet if chest pain is unrelieved after 5 minutes, up to three doses within 15 minutes, then seek emergency help if symptoms persist.

B. "I should stop taking the medication if I get a headache.": Stopping the medication due to a headache overlooks the therapeutic benefit. Headaches are a common side effect caused by vasodilation and can be managed with mild analgesics while continuing the medication as prescribed.

C. "I should expect pain relief in 1 to 3 minutes.": Sublingual nitroglycerin is rapidly absorbed through the oral mucosa, leading to relief typically within 1 to 3 minutes. This fast onset is essential for treating acute angina episodes effectively.

D. "I will swallow the tablet for faster absorption.": Swallowing the tablet bypasses the sublingual route, delaying its effect due to first-pass metabolism in the liver. The tablet must be placed under the tongue to ensure rapid absorption and therapeutic effectiveness.

A. "Colostrum provides vitamin K which is an essential nutrient for newborns." B. "Colostrum provides many important antibodies that the newborn lacks." C. "Colostrum contains iron, which is important for a newborn's brain development." D. "Colostrum contains a natural diuretic that stimulates the newborn to void."

Correct Answer is B

Explanation

Rationale:

A. "Colostrum provides vitamin K which is an essential nutrient for newborns." While vitamin K is essential for clotting, it is not found in sufficient amounts in colostrum. This is why newborns routinely receive a vitamin K injection shortly after birth, rather than relying on breast milk as a source.

B. "Colostrum provides many important antibodies that the newborn lacks." Colostrum is rich in immunoglobulins, especially IgA, which help protect the newborn from pathogens by providing passive immunity. These antibodies line the infant's gastrointestinal tract and offer critical defense during early life.

C. "Colostrum contains iron, which is important for a newborn's brain development." Although breast milk contains iron, colostrum is not a major source of it. Newborns are typically born with adequate iron stores to last several months, and the primary role of colostrum is immune protection, not iron supplementation.

D. "Colostrum contains a natural diuretic that stimulates the newborn to void." While colostrum has a laxative effect that helps the newborn pass meconium, there is no known diuretic component. Its primary importance lies in delivering antibodies and coating the GI tract to reduce infection risk.

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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 discharge teaching with a client who has angina and a prescription for sublingual nitroglycerin tablets. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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