A nurse is caring for client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

Occupational therapist

Social worker

Dietitian

Physical therapist

Answer and Explanation

The Correct Answer is D

A physical therapist assists clients in improving their mobility, coordination and balance. This can help prevent contractures and muscle wasting in the stroke client.

A. An occupational therapist assists clients with functional skills required to perform activities of daily living such as toileting.

B. A social worker links clients with financial constraints and other social obstacles to programs that can allow them to cater for their healthcare needs.

C. A dietitian deals with nutritional requirements through education.

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Correct Answer is D

Explanation

A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.

B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents

C. Peripheral IV solution bags should be replaced every 24 hrs.

D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.

A. Instructing a client on self-administration of a tap water enema B. Suctioning a client's long-term tracheostomy C. Performing a dressing change on a client's peripherally inserted central catheter D. Using a pain rating scale to monitor a client's pain level

Correct Answer is D

Explanation

Rating the pain scale of a client is a low risk task that can be performed by assistive personnel

A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse

B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse

C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention

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A nurse is caring for client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Correct Answer is D

Explanation

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

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A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?