Question

1. A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following member of the interprofessional care team?

1. Occupational therapist
2. Respiratory therapist
3. Social worker
4. Speech-language pathologist

2. A nurse is performing a preoperative assessment for a client who reports having an allergy to several foods. Which of the following food allergies indicate a risk factor for a latex allergy?

1. Peanuts
2. Eggs
3. Bananas
4. Shrimp

3. A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care?

1. Measure the arm circumference above the insertion site daily.
2. Schedule an MRI post procedure to verify placement.
3. Administer sedation for the procedure.
4. Use gauze to secure an arm board to the involved extremity.

4. A nurse is caring for a group of clients. Which of the following wounds should the nurse expect to heal by primary intention?

1. Approximated surgical incision
2. Infected laceration
3. Stage II pressure ulcer
4. Partial-thickness burn

5. A nurse is performing a change-of-shift assessment. Which of the following clients has the priority finding?

1. A client who has a first-degree heart block and a heart rate of 62/min
2. A client who is 2 hr post cast placement and has 2+ pitting edema and pallor
3. A client who has pneumonia with a productive cough and a fever of 38.8^oC (101.8^oF)
4. A client who has type 2 diabetes mellitus and a blood glucose of 250mg/dL

Answer 1

1.A occupational therapist are one who enables to provide support and care to a client to meet all their daily requirements like eating , personal hygiene in simple activities of daily living. They can enable to teach the skills if one has problem with eating and making them at risk for choking bit after diagnosis

The respiratory therapist mainly sees the one function of the lungs

The social worker are needed if the patient wants to be socialized or how to be in society

Speech language pathologist generally treat patients who have problems with speaking and who has difficulty in swallowing foods or often deal with dysphagia patient

Ans:speech language pathologist

2.A client who has latex allergy should generally avoid the following foods and can be a risk factor for a latex allergic patient

• Apple ,banana,kiwis,melons
• Chestnut
• Carrot ,potato, tomato

Peanut, eggs ,shrimp doesn't cause any latex allergy

Ans:banana

3.There are chances of swelling in the arms so arm circumference is to be checked daily

MRI is not indicated for this procedure and chest X ray is sufficient to assess the location after insertion

A local anesthesia is given and not sedation during PICC line insertion

As it is in the arm the movement doesn't occur much, so arm board is not necessary

Ans:Measure the arm circumference above the insertion site daily

4.A primary intention healing is where the wounds are generally closed as it is done in a surgery and then left for healing

Wound lacerations, stage 2 pressure ulcer, partial thickness burns the inner layers are exposed and needs secondary intentional healing

Ans:Approximated surgical incision