A nurse is observing an assistive personnel (AP) take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?

Choice A Reason:

An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.

Choice B Reason:

Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.

Choice C Reason:

A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.

Choice D Reason:

Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.

Choice A Reason:

Maintaining the client in high-Fowler's position is a correct action. Keeping the client in a high-Fowler's position (sitting up with the head of the bed elevated) can help improve lung expansion and ease breathing for clients with heart failure and respiratory distress.

Choice B Reason:

Instructing the client to cough every 4 hr. is not directly addressing the underlying issue of fluid accumulation and respiratory distress associated with heart failure. Coughing alone may not be sufficient to alleviate these symptoms.

Choice C Reason:

Increasing the client's intake of oral fluids is generally not recommended without considering the client's overall fluid status. In heart failure, there is often a need to restrict fluid intake to prevent fluid overload and worsening of symptoms. Increasing oral fluids should be done cautiously and under the guidance of the healthcare provider.

Choice D Reason:

Encouraging the client to ambulate to loosen secretions. While ambulation can be beneficial for some clients to improve overall circulation and prevent complications, it may not be the primary intervention in this case. The client's primary issue is likely related to pulmonary congestion due to heart failure, and they may be too short of breath to ambulate effectively.