A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist?
The client has two small children at home.
The client is allergic to penicillin.
The client lives in a two-story home.
The client’s parent is in a skilled nursing facility.
The Correct Answer is C
Choice A reason: Having children at home is relevant for social support but less critical for occupational therapy than home layout, like a two-story home. Assuming children are priority risks overlooking functional adaptations, critical to avoid in ensuring tailored rehabilitation for clients post-amputation.
Choice B reason: Penicillin allergy is medical information, not directly relevant to occupational therapy, which focuses on functional adaptations for a two-story home. Assuming allergy is key risks diverting focus from rehabilitation needs, critical to prevent in supporting recovery post-amputation in occupational therapy planning.
Choice C reason: Reporting a two-story home is critical, as it impacts occupational therapy planning for mobility and daily tasks post-amputation, ensuring adaptations like stair aids. This is essential for functional independence, safety, and rehabilitation, supporting effective recovery and quality of life in clients with arm amputations.
Choice D reason: A parent in a nursing facility is unrelated to occupational therapy needs, unlike a two-story home, which affects mobility. Assuming this is relevant risks neglecting home adaptation needs, critical to avoid in ensuring functional rehabilitation and independence for clients post-amputation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Unleavened bread (matzah) is required during Passover in Orthodox Judaism, as leavened products are prohibited. Providing it respects dietary laws, critical for cultural sensitivity, ensuring nutritional needs, and supporting client comfort, aligning with patient-centered care principles during religious observances in healthcare settings.
Choice B reason: Chicken with cream sauce is prohibited during Passover, as Orthodox Jews avoid mixing meat and dairy (kosher laws). Unleavened bread is appropriate. Serving this risks dietary violation, causing distress, critical to avoid in ensuring culturally sensitive care for clients observing Passover in healthcare settings.
Choice C reason: Fish with fins and scales is kosher and permitted during Passover, not to be avoided. Unleavened bread aligns with Passover rules. Assuming fish avoidance risks unnecessary restriction, potentially affecting nutrition, critical to prevent in supporting dietary adherence for Orthodox Jewish clients during Passover.
Choice D reason: Lamb is permitted during Passover if kosher, not universally avoided. Unleavened bread is a dietary staple. Assuming lamb avoidance risks misaligned care, potentially causing nutritional or cultural issues, critical to avoid in ensuring respectful, adherent care for Orthodox Jewish clients observing Passover.
Correct Answer is C
Explanation
Choice A reason: Protamine sulfate reverses heparin, not midazolam, a benzodiazepine requiring flumazenil for reversal. Assuming protamine is needed risks ineffective response to oversedation, critical to avoid in ensuring rapid reversal and safety in clients post-moderate sedation with midazolam in surgical settings.
Choice B reason: Acetylcysteine treats acetaminophen overdose, not midazolam, reversed by flumazenil. Assuming acetylcysteine is appropriate risks delayed reversal of sedation, potentially causing respiratory depression, critical to prevent in ensuring safe recovery for clients post-moderate sedation with midazolam in postoperative care.
Choice C reason: Flumazenil reverses midazolam’s benzodiazepine effects, critical for managing oversedation or respiratory depression post-moderate sedation. Having it on hand ensures rapid response, essential for client safety, preventing complications, and supporting recovery in surgical settings using midazolam for procedural sedation.
Choice D reason: Naloxone reverses opioids, not midazolam, a benzodiazepine requiring flumazenil. Assuming naloxone is needed risks ineffective treatment of sedation, potentially prolonging respiratory risks, critical to avoid in ensuring proper reversal and safety in clients post-moderate sedation with midazolam.
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