A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?

Occupational therapist

Physical therapist

Social worker

Primary care provider

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.

The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.

A. You should eat a protein-rich diet during the collection period. B. You should record your blood glucose level each time you void. C. You can begin collection of urine after discarding your first morning void. D. You can cleanse your perineal area with an antiseptic towel each time before you void.

Correct Answer is C

Explanation

C, "You can begin collection of urine after discarding your first morning void."

A 24-hour creatinine clearance test is used to evaluate how well the kidneys are functioning by measuring the amount of creatinine in the blood and urine over a 24-hour period. During the test, the client is asked to discard their first morning void and then collect all urine for the next 24 hours.

Option A is incorrect because a protein-rich diet can aﬀect the creatinine levels in the urine, which can result in inaccurate test results. Therefore, the nurse should advise the client to avoid a protein-rich diet during the collection period.

Option B is incorrect because blood glucose levels are not relevant to a 24-hour creatinine clearance test. Therefore, the nurse should not ask the client to record their blood glucose level each time they void.

Option D is incorrect because using an antiseptic towel to cleanse the perineal area can also aﬀect the test results by introducing contaminants into the urine sample. Therefore, the nurse should advise the client to cleanse the perineal area with soap and water or an alcohol wipe.

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A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?

Nursing Test Bank

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