A nurse is participating in an interdisciplinary conference for a client who is being discharged to home following a stroke. Which of the following information should the nurse report to the social worker?
The client needs assistance with learning to eat with the opposite hand.
The client will require a wheelchair for use in the home.
The client needs assistance with paying medical bills.
The client will require a prescription for home on therapy
The Correct Answer is C
A. The client needs assistance with learning to eat with the opposite hand: This is an aspect of rehabilitation and occupational therapy, focusing on adaptive techniques for daily living. It is not within the social worker’s primary role, so this information should be directed to therapy services.
B. The client will require a wheelchair for use in the home: Equipment needs such as wheelchairs are usually coordinated through physical therapy or case management. While the social worker may assist with resources, the primary focus is on functional mobility, which is addressed by therapy services.
C. The client needs assistance with paying medical bills: Financial assistance, insurance navigation, and access to community resources are within the social worker’s scope of practice. Reporting this need ensures the client receives support for managing medical expenses and continuity of care at home.
D. The client will require a prescription for home therapy: Prescriptions for home health services fall under the provider’s and therapy team’s responsibilities. The social worker may support logistics, but the primary coordination of therapy prescriptions is not their role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Banana slices: Soft, ripe bananas are easy for toddlers to chew and swallow, making them a safe option that minimizes the risk of choking and aspiration. Cutting the fruit into small, manageable pieces further reduces the risk and aligns with recommended feeding practices for young children.
B. Popcorn: Popcorn is a high-risk food for toddlers due to its small, hard, and irregular pieces that can easily lodge in the airway. It should be avoided in young children to prevent choking and aspiration hazards.
C. Hot dogs: Whole or large pieces of hot dogs are a major choking risk for toddlers because they are firm, slippery, and can block the airway. If served, they should be cut into very small, lengthwise pieces, but they are generally not recommended for very young children.
D. Seeded grapes: Grapes with seeds are hard and round, posing a significant aspiration risk for toddlers. Seeds increase the likelihood of airway obstruction, making this food unsafe for young children without proper modification.
Correct Answer is B
Explanation
A. Urinary output of 100 mL in 4 hr: This indicates a urine output of 25 mL/hr, which is slightly below the expected minimum of 30 mL/hr for adequate renal perfusion. While important to monitor, it is not immediately life-threatening compared to respiratory compromise.
B. Coughing frothy, pink secretions: Frothy, pink sputum can indicate pulmonary edema, a potentially life-threatening condition that requires immediate assessment and intervention to prevent respiratory failure. Airway and oxygenation take priority in the postoperative client.
C. Emesis of 110 mL of thick, yellow fluid: Postoperative vomiting is concerning for nausea or potential infection, but it is not immediately life-threatening. Management includes antiemetics and monitoring for dehydration.
D. Red drainage on the dressing: Some postoperative bleeding is expected, especially in the first few hours after surgery. While the nurse should monitor for excessive hemorrhage, small amounts of red drainage are less urgent than signs of pulmonary compromise.
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