A nurse is contacting an occupational therapist for a client who had a stroke with right-sided weakness and has difficulty eating. Which of the following roles should the nurse expect the occupational therapist to perform?

Assists in finding an economic living arrangement for the client

Promotes health by ensuring the client's nutritional needs are met

Provides and adjusts devices to assist the client with daily living activities

Uses heat, massage, and water to treat a client's strength and movement

Answer and Explanation

The Correct Answer is C

A. Assists in finding an economic living arrangement for the client: Arranging housing or financial resources is primarily the role of a social worker, not an occupational therapist.

B. Promotes health by ensuring the client's nutritional needs are met: While occupational therapists may help with adaptive feeding techniques, overall nutrition management is the responsibility of a dietitian or nurse.

C. Provides and adjusts devices to assist the client with daily living activities: Occupational therapists evaluate and provide adaptive equipment, training, and strategies to help clients regain independence in activities such as feeding, dressing, and grooming.

D. Uses heat, massage, and water to treat a client's strength and movement: These interventions are typically performed by a physical therapist, who focuses on improving mobility, strength, and range of motion.

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Correct Answer is D

Explanation

A. Pain rating of 4 on a scale of 0 to 10: Mild to moderate pain is expected in the early postoperative period due to surgical trauma. While pain should be monitored, a rating of 4 is not specific for infection and can be considered within normal postoperative discomfort.

B. Temperature of 37.2° C (99.0°F): A slightly elevated temperature within the normal range is common after surgery due to inflammatory response. It does not necessarily indicate infection unless it continues to rise or is accompanied by other systemic signs.

C. Increased urinary output: Increased urine output is generally a positive sign of adequate renal perfusion and fluid balance. It is not indicative of infection and may instead reflect normal postoperative recovery or fluid administration.

D. Elevated WBC count: Leukocytosis is a key laboratory indicator of infection. An elevated white blood cell count suggests an inflammatory or infectious process, which is particularly concerning in the postoperative period and warrants further assessment and intervention.

A. Calum B. Vitamin D C. Protein D. Fats

Correct Answer is C

Explanation

A. Calcium Calcium is primarily responsible for bone health, nerve transmission, and muscle contraction. While it plays a minor role in the blood-clotting phase of wound healing, it is not a primary nutrient targeted to speed up the healing of an open soft-tissue leg wound.

B. Vitamin D Vitamin D works in tandem with calcium for bone mineralization and supports immune function. While important for overall health, it is not as directly involved in the cellular repair of a dermal wound as protein, Vitamin C, or Zinc are.

C. Protein Protein is the most critical nutrient for wound healing. It is essential for collagen synthesis, tissue repair, and the formation of new blood vessels (angiogenesis). When a client has an open wound, the body enters a hypermetabolic state that requires significant amounts of amino acids to rebuild the skin and underlying tissues.

D. Fats While fats provide a concentrated source of energy and are necessary for cell membrane integrity, they are generally not the nutrient of focus when a client is struggling with wound healing. The body typically has enough stored adipose tissue to meet the energy demands of healing unless the client is severely malnourished.

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A nurse is contacting an occupational therapist for a client who had a stroke with right-sided weakness and has difficulty eating. Which of the following roles should the nurse expect the occupational therapist to perform?

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