A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care?

Social worker

Herbalist

Dietitian

Occupational therapist

Answer and Explanation

The Correct Answer is D

Occupational therapist. Disuse syndrome is a condition that occurs when a person experiences a reduction in physical activity, resulting in a decline in physical function. An occupational therapist can help the client improve their ability to perform daily activities and improve their overall functioning. A social worker can help the client and their family with emotional and social issues related to the condition. An herbalist is not necessary for the management of disuse syndrome. A dietitian can help the client with their nutritional needs but may not address their physical functioning.

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Correct Answer is D

Explanation

The correct answer is choice D. Provide regular oral care for the client with a moist swab. When a client with a terminal illness and in the active phase of dying refuses further hydration and nourishment, the nurse should provide comfort measures such as regular oral care to prevent discomfort. The nurse should not force the client to eat or drink or request a prescription for IV fluids. The healthcare surrogate cannot be asked for permission to withhold nourishment as the client has the right to refuse nourishment.

Option A - The client has the right to refuse nourishment, and healthcare surrogate permission is not required.

Option B - Requesting a prescription for IV fluids is not an appropriate intervention as the client has the right to refuse nourishment.

Option C - Explaining the importance of oral hydration to the client is not an appropriate intervention as the client has the right to refuse nourishment.

A. The client walks 3.2 km (2 mi) daily. B. The client is a gardener. C. The client is lactose intolerant. D. The client has a glass of red wine every evening.

Correct Answer is C

Explanation

The correct answer is choice C. The client's lactose intolerance places her at an increased risk for osteoporosis, as dairy products are a rich source of calcium and vitamin D, which are important for bone health. Walking daily and gardening may actually help to reduce the risk of osteoporosis, as physical activity can help to strengthen bones. Drinking red wine in moderation may provide some benefits for cardiovascular health and may not necessarily increase the risk of osteoporosis.
Reason why each of the other choices are not answers:

A is not correct because walking daily can help to improve bone health and reduce the risk of osteoporosis.

B is not correct because gardening can also provide physical activity and help to reduce the risk of osteoporosis.

D is not correct because propranolol does not typically cause increased hair growth, and requesting a dosage increase based on apical heart rate may not be necessary for all clients taking this medication.

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A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client refuses further hydration and nourishment. What action should the nurse take?

Correct Answer is D

Explanation

A nurse in a health clinic is collecting data from an older adult client. Which of the following information in the client's history increases her risk for osteoporosis?

Correct Answer is C

Explanation

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