A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority?
Ask social services to inform a client about community support organizations
Notify spiritual support personnel about a client who requests a visit
Inform the physical therapist of activity restrictions for a client following a hip arthroplasty
Request a dietitian consult for a client who asks for information about a vegan diet
The Correct Answer is C
Choice A reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.
Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.
Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.
Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Echinacea is not typically utilized for its analgesic or anti-inflammatory properties related to musculoskeletal disorders. Arthritis management usually involves supplements like glucosamine, chondroitin, or omega-3 fatty acids. Since echinacea focuses on immune modulation rather than joint health, improvement in arthritis pain would not be the expected clinical indicator of its effectiveness.
Choice B reason: Sleep enhancement is not a known therapeutic effect of echinacea. Clients seeking herbal assistance for insomnia or sleep disturbances would more likely use valerian root, melatonin, or chamomile. Because echinacea does not possess sedative or hypnotic properties, a report of sleeping through the night would be unrelated to this specific treatment.
Choice C reason: Echinacea is widely used for its immunostimulant properties, which can aid in wound healing and the prevention of upper respiratory infections. By enhancing phagocytosis and immune function, it supports the body's ability to repair tissue. Therefore, a healing leg wound serves as a positive clinical finding indicating the therapy is effective.
Choice D reason: This blood pressure reading indicates a wide pulse pressure and does not reflect a therapeutic goal of echinacea. Echinacea does not have antihypertensive properties or significant effects on cardiovascular hemodynamics. Monitoring blood pressure is a standard nursing action, but these specific values would not be used to evaluate the efficacy of an herbal immunostimulant.
Correct Answer is C
Explanation
Choice A reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.
Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.
Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.
Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.
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