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 D
Explanation
A. A client who has a burn requiring a sterile dressing change: While burn care is important to prevent infection and promote healing, a dressing change is not immediately life-threatening. This task can be safely addressed after assessing clients with higher-priority acute risks.
B. A client who had an appendectomy 6 hr ago and has diminished bowel sounds: Diminished bowel sounds are common in the immediate postoperative period and do not usually indicate an emergent problem. This client requires ongoing monitoring, but there is no acute threat to life at this time.
C. A client who received a chemotherapy treatment and reports nausea: Nausea following chemotherapy is uncomfortable and should be managed promptly, but it is not immediately life-threatening. Interventions such as antiemetics can be provided after more urgent needs are addressed.
D. A client who has hypothyroidism and is stuporous: Stupor in a client with hypothyroidism may indicate myxedema or severe hypothyroid crisis, which can be life-threatening due to risk of respiratory depression, cardiovascular compromise, or altered mental status. This client requires immediate assessment and intervention, making them the highest priority.
Correct Answer is C
Explanation
A. 1/2 cup raw carrots: Carrots contain minimal calcium, providing only a small fraction of the daily requirement. While nutritious, they are not an effective source for preventing or managing osteoporosis.
B. 3 oz canned tuna: Tuna is high in protein and omega-3 fatty acids but contains very little calcium. It does not contribute significantly to meeting daily calcium needs essential for bone health.
C. 6 oz low-fat yogurt: Yogurt is rich in calcium and often fortified with vitamin D, making it an excellent dietary source for promoting bone strength. Consuming yogurt helps maintain adequate calcium intake, which is critical for osteoporosis prevention and management.
D. 1 slice whole wheat bread: Whole wheat bread provides some nutrients, including fiber and small amounts of minerals, but its calcium content is low. It is not sufficient to meet the dietary calcium requirements needed to support bone health.
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