A nurse is caring for a group of clients who have chronic pain. Which of the following clients should the nurse identify as a candidate for occupational therapy?
A client who has a PCA for chronic pain following a laminectomy
A client who has Alzheimer's disease and is experiencing abdominal pain
A client who has migraines and is experiencing nausea and vomiting
A client who has painful hands due to degenerative joint disease
The Correct Answer is D
A. A client who has a PCA for chronic pain following a laminectomy: This client is receiving patient-controlled analgesia (PCA) to manage post-surgical pain. The primary focus is pharmacologic pain control, and occupational therapy is not the first-line intervention for acute post-surgical pain management.
B. A client who has Alzheimer's disease and is experiencing abdominal pain: Occupational therapy focuses on improving functional abilities, mobility, and daily activities rather than addressing acute internal pain such as abdominal pain. Management of this client’s pain would involve medical assessment and treatment rather than OT intervention.
C. A client who has migraines and is experiencing nausea and vomiting: Migraine management is primarily medical, focusing on pharmacologic therapy and symptom relief. Occupational therapy is not indicated for acute episodic pain like migraines with associated nausea and vomiting.
D. A client who has painful hands due to degenerative joint disease: Occupational therapy is appropriate for chronic musculoskeletal conditions like degenerative joint disease. OT can help the client maintain hand function, adapt daily activities, improve fine motor skills, and manage chronic pain through therapeutic techniques and assistive devices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bone is exposed within the wound: Exposure of bone indicates a stage IV pressure injury, which involves full-thickness tissue loss with exposed muscle, tendon, or bone. This is more severe than stage III.
B. The skin is reddened and intact: Reddened, intact skin corresponds to a stage I pressure injury, which involves non-blanchable erythema without skin breakdown.
C. Subcutaneous fat is visible: Stage III pressure injuries involve full-thickness skin loss, where subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed. This finding is consistent with stage III classification.
D. Slough and eschar is present: While slough and eschar may be present in stage III or IV injuries, the presence alone is not sufficient to determine stage. The key characteristic for stage III is full-thickness tissue loss with visible subcutaneous fat without exposed deeper structures.
Correct Answer is B
Explanation
A. Bulging fontanel: A bulging fontanel typically indicates increased intracranial pressure, not dehydration. In dehydration, the fontanel is more likely to appear sunken in infants, making this an incorrect finding to monitor for fluid loss.
B. Weight loss: Weight loss is a key indicator of fluid loss in infants. Monitoring daily weight provides an objective measure of dehydration severity and effectiveness of rehydration interventions, making it a critical finding for the nurse to track.
C. Distended jugular vein: Jugular vein distention is associated with fluid overload or cardiac issues, not dehydration. This finding would be unlikely in a 3-month-old infant with gastroenteritis.
D. Bradycardia: Dehydration in infants typically presents with tachycardia as the body compensates for decreased fluid volume. Bradycardia is not a common sign of dehydration and may indicate another underlying condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.