A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?

Choice A reason: Family history informs genetic risks, not current mobility needs for therapy. Scientifically, it’s less relevant than functional data, as physical therapy focuses on present deficits, not hereditary patterns, making this secondary for referral purposes.

Choice B reason: Prior medications provide context but don’t detail current physical status for therapy goals. Scientifically, recent assessments outweigh past drug use, as therapists need functional baselines, not historical pharmacology, for effective planning.

Choice C reason: Physical assessment findings (e.g., strength, range of motion) directly inform therapy needs, setting baselines for intervention. Scientifically, this data drives rehabilitation plans, aligning with evidence-based practice to target specific deficits for mobility recovery.

Choice D reason: Insurance claims are administrative, not clinical, data. They don’t guide therapy goals or interventions. Scientifically, financial details are irrelevant to physical assessment, making this inappropriate for a referral focused on functional restoration.

Choice A reason: Wiping yellow crusts disrupts healing; they’re normal post-Plastibell exudate. This shows misunderstanding, as crusts should remain until the ring detaches naturally.

Choice B reason: Snug diapers risk ring displacement or irritation in Plastibell care. Loose fitting is advised, so this indicates a lack of proper technique understanding.

Choice C reason: Applying pressure with gauze controls minor bleeding, a correct response in Plastibell care. It shows understanding of managing complications until medical help is sought.

Choice D reason: Antibiotic ointment isn’t routine for Plastibell; petroleum jelly is used instead. This reflects incorrect care knowledge, potentially causing irritation or infection.