The nurse is caring for a patient who has had a recent stroke and is paralyzed on his left side. He has no respiratory or cardiac issues, but he cannot walk

He becomes extremely frustrated when he cannot button his shirt and cannot feed himself because he was left-handed. He has shown no signs of dysphagia, but he has been eating very little and has lost 2 lbs. He asks the nurse, "How can I go home like this? I'm not getting better. I can't ask my wife to take care of me like a baby." Of the following list of health care team members, which member would the nurse need to consult? (Select all that apply.)
a. Physical therapy
b. Occupational therapy
c. Respiratory therapy
d. Cardiac rehabilitation
e. Psychology services


ANS: A, B, E
Physical therapists are a resource for planning ROM or strengthening exercises, and occupational therapists are a resource for planning ADLs that patients need to modify or re-learn. Referral to a mental health advanced practice nurse, a licensed social worker, or a physiologist to assist with coping or other psychosocial issues is also wise. Because the patient exhibits good cardiac and respiratory function, respiratory therapy and cardiac rehabilitation probably are not needed at this time.

Nursing

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The client reports relief from headaches when she rubs the temples on each side of the head. The nurse understands that this is a form of:

A. Acupressure. B. Acupuncture. C. The Feldenkrais method. D. The Alexander technique.

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A nurse in a healthcare facility receives a call that the facility will be bombed. What

action should the nurse take after receiving a bomb threat? A) Notify the facility's security personnel B) Investigate if the call is a hoax C) Ask clients to vacate the facility D) Notify staff by telephone

Nursing

A female client who underwent a mammogram earlier in the day is asked to have a breast ultrasound, and then informed that she demonstrates signs of breast malignancy. The nurse knows that the client is at risk for experiencing sensory:

A) adaptation. B) deprivation. C) stimulation. D) overload.

Nursing

Body fluid precautions are used only for those patients with known infections

Indicate whether the statement is true or false

Nursing