A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

Respiratory therapist

Occupational therapist

Physical therapist

Social worker

Answer and Explanation

The Correct Answer is C

A. A respiratory therapist focuses on breathing and airway management, which is not the primary concern for a client needing strengthening after a stroke.
B. An occupational therapist helps clients with daily living activities and fine motor skills, but the focus on strengthening the affected side is more specific to physical therapy.
C. A physical therapist specializes in developing and implementing exercise programs to strengthen muscles and improve mobility, making this the most appropriate referral for the client's needs.
D. A social worker assists with emotional and social needs but would not focus on physical rehabilitation after a stroke.

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Correct Answer is D

Explanation

A. Black cohosh is primarily used for menopausal symptoms and does not have benefits for peripheral arterial disease.
B. Echinacea is commonly used to boost the immune system but is not effective for improving circulation or walking distance in peripheral arterial disease.
C. Saw palmetto is mainly used for urinary symptoms related to benign prostatic hyperplasia and does not address the symptoms of peripheral arterial disease.
D. Ginkgo biloba has been shown to improve blood circulation and may help increase pain-free walking distance in clients with peripheral arterial disease, making it the most suitable option.

A. Document the findings and continue with the visit. B. Notify the RN case manager of the change in status. C. Reinforce the importance of daily weights. D. Ensure the client has been taking their prescribed diuretic.

Correct Answer is B

Explanation

A. Documenting the findings and continuing the visit does not address the potential seriousness of the weight gain and edema in a patient with heart failure. It is important to act promptly on such findings.

B. Notifying the RN case manager of the change in status is essential because a weight gain of this magnitude, along with generalized edema, may indicate worsening heart failure. This requires a timely assessment and possible adjustment of the treatment plan, including medication and fluid management.

C. While reinforcing the importance of daily weights is beneficial for long-term management, it is not an immediate intervention for the acute change in the patient’s condition.

D. Ensuring the client has been taking their prescribed diuretic is important, but the nurse should first communicate the significant changes to the RN case manager for further evaluation and intervention, as this might require a medication review or adjustment.

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A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance?

Correct Answer is D

Explanation

A home health nurse is collecting data from a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?

Correct Answer is B

Explanation

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