A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?

Social worker

Respiratory therapist

Occupational therapist

Registered dietitian

Answer and Explanation

The Correct Answer is B

A. Social worker: Social workers assist with social, emotional, and financial aspects of care, but they do not manage tracheostomies.

B. Respiratory therapist: This is the correct answer. Respiratory therapists specialize in airway management, including tracheostomy care, and are the appropriate team members for managing this aspect of care.

C. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment but do not manage tracheostomies.

D. Registered dietitian: Dietitians focus on nutritional care and are not involved in tracheostomy management.

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Correct Answer is C

Explanation

A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.

B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.

C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.

D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.

A. Lactulose B. Sevelamer C. Sodium polystyrene D. Darbepoetin alfa

Correct Answer is C

Explanation

A. Lactulose: Lactulose is used to reduce blood ammonia levels in hepatic encephalopathy, not to reduce potassium levels. It is not appropriate for treating hyperkalemia.

B. Sevelamer: Sevelamer is a phosphate binder used in clients with chronic kidney disease to lower serum phosphorus levels, not potassium. It is not appropriate for treating hyperkalemia.

C. Sodium polystyrene: Sodium polystyrene (Kayexalate) is a cation-exchange resin used to treat hyperkalemia. It works by exchanging sodium ions for potassium ions in the intestine, promoting the excretion of potassium. This is the correct medication to administer for a serum potassium level of 6.8 mEq/L.

D. Darbepoetin alfa: Darbepoetin alfa is a synthetic erythropoietin used to treat anemia associated with chronic kidney disease. It is not used to treat hyperkalemia.

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A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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