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srbarrett98 srbarrett98
wrote...
6 years ago
A nurse collaborates with an occupational therapist when providing care for a rehabilitation client. With which activities should the occupational therapist assist the client? (Select all that apply.)
 
  a. Achieving mobility
  b. Attaining independence with dressing
  c. Using a walker in public
  d. Learning techniques for transferring
  e. Performing activities of daily living (ADLs)
  f.
  Completing job training

Question 2

An interdisciplinary team is caring for a client on a rehabilitation unit. Which team members are paired with the correct roles and responsibilities? (Select all that apply.)
 
  a. Speech-language pathologist - Evaluates and retrains clients with swallowing problems
  b. Physical therapist - Assists clients with ambulation and walker training
  c. Recreational therapist - Assists physical therapists to complete rehabilitation therapy
  d. Vocational counselor - Works with clients who have experienced head injuries
  e. Registered dietitian - Develops client-specific diets to ensure client needs are met

Question 3

A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention should the nurse implement to prevent skin breakdown?
 
  a. Place pillows under the client's heels.
  b. Have the client do wheelchair push-ups.
  c. Perform wound care as prescribed.
  d. Massage the client's calves and feet with lotion.

Question 4

A nurse assists a client with left-sided weakness to walk with a cane. What is the correct order of steps for gait training with a cane?
 
  1. Apply a transfer belt around the client's waist.
  2. Move the cane and left leg forward at the same time.
  3. Guide the client to a standing position.
  4. Move the right leg one step forward.
  5. Place the cane in the client's right hand.
  6. Check balance and repeat the sequence.
  a.
  3, 1, 5, 4, 2, 6
  b.
  1, 3, 5, 2, 4, 6
  c.
  5, 3, 1, 2, 4, 6
  d.
  3, 5, 1, 4, 2, 6

Question 5

A nurse assesses a client who is admitted with hip problems. The client asks, Why are you asking about my bowels and bladder? How should the nurse respond?
 
  a. To plan your care based on your normal elimination routine.
  b. So we can help prevent side effects of your medications.
  c. We need to evaluate your ability to function independently.
  d. To schedule your activities around your elimination pattern.

Question 6

A nurse teaches a client who has a flaccid bladder. Which bladder training technique should the nurse teach?
 
  a. Stroking the medial aspect of the thigh
  b. Valsalva maneuver
  c. Self-catheterization
  d. Frequent toileting

Question 7

A nurse is caring for a client who has a spinal cord injury at level T3. Which intervention should the nurse implement to assist with bladder dysfunction?
 
  a. Insert an indwelling urinary catheter.
  b. Stroke the medial aspect of the thigh.
  c. Use the Cred maneuver every 3 hours.
  d. Apply a Texas catheter with a leg bag.

Question 8

A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant (UAP). Which statement should the nurse include when delegating this task?
 
  a. The client has skid-proof socks, so there is no need to use your gait belt.
  b. Teach the client how to use the walker while you are ambulating up the hall.
  c. Sit the client on the edge of the bed with legs dangling before ambulating.
  d. Ask the client if pain medication is needed before you walk the client in the hall.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: B, E
The role of the occupational therapist is to assist the client with ADLs, dressing, and activities needed for job training. The physical therapist assists with muscle strength development and ambulation. Vocational counselors assist with job placement, training, and further education.

The answer to question 2

ANS: A, B, E
Speech-language pathologists evaluate and retrain clients with speech, language, or swallowing problems. Physical therapists help clients to achieve self-management by focusing on gross mobility. Registered dietitians develop client-specific diets to ensure that clients meet their needs for nutrition. Recreational therapists work to help clients continue or develop hobbies or interests. Vocational counselors assist with job placement, training, or further education.

The answer to question 3

ANS: B
Clients who sit for prolonged periods in a wheelchair should perform wheelchair push-ups for at least 10 seconds every hour. Chair-bound clients also need to be re-positioned at least every 1 to 2 hours. The lower legs, where the wheelchair could rub against the legs, also need to be assessed. Pillows under the heels could exert pressure on the heels; it is better to place the pillow under the ankle. Performing wound care as prescribed is important to improve the healing of pressure ulcers, but this intervention will not prevent skin breakdown. The calves of a client with no or decreased lower extremity mobility should not be massaged because of the risk of embolization or thrombus.

The answer to question 4

ANS: B
To ambulate a client with a cane, the nurse should first apply a transfer belt around the client's waist, then guide the client to a standing position and place the cane in the client's strong hand. Next the nurse should assist the client to move the cane and weaker leg forward together. Then move the stronger leg forward and check balance before repeating the sequence.

The answer to question 5

ANS: A
Bowel elimination varies from client to client and must be evaluated on the basis of the client's normal routine. The nurse asks about bowel and bladder habits to develop a client-centered plan of care. The other answers are correct but are not the best responses. Oral analgesics may cause constipation, but they do not interfere with bladder control. The client is in rehabilitation to assist his or her ability to function independently. Elimination usually is scheduled around rehabilitation activities but should be taken into consideration when a plan of care is developed.

The answer to question 6

ANS: B
With a flaccid bladder, the voiding reflex arc is not intact and additional stimulation may be needed to initiate voiding, such as with the Valsalva and Cred maneuvers. Intermittent catheterization may be used after the previous maneuvers are attempted. In reflex bladder, the voiding arc is intact and voiding can be initiated by any stimulus, such as stroking the medial aspect of the thigh. A consistent toileting routine is used to re-establish voiding continence with an uninhibited bladder.

The answer to question 7

ANS: C
Two techniques are used to facilitate voiding in a client with a flaccid bladder: the Valsalva maneuver and the Cred maneuver. Indwelling urinary catheters generally are not used because of the increased incidence of urinary tract infection. Stroking the medial aspect of the thigh facilitates voiding in clients with upper motor neuron problems. If the spinal cord injury is above T12, the client is unaware of a full bladder and does not void or is incontinent. Therefore, the client would not benefit from a Texas catheter with a leg bag.

The answer to question 8

ANS: C
Before the client gets out of bed, have the client sit on the bed with legs dangling on the side. This will enhance safety for the client. A gait belt should be used for all clients. The UAP cannot teach the client to use a walker or assess the client's pain.
srbarrett98 Author
wrote...
6 years ago
Extremely helpful
wrote...
6 years ago
Cool, thanks for the positive feedback
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