A nurse is participating in interdisciplinary care rounds for a client who sustained a complex pelvic fracture and bilateral wrist fractures in a motor vehicle collision. The client is immobilized in bed, exhibits acute agitation, and is entirely dependent on staff for meals due to the upper extremity injuries. Which nursing action demonstrates appropriate care management and interprofessional collaboration?
- Consulting an occupational therapist to evaluate the client for custom hand splints and adaptive feeding equipment.Cevap
- BDelegating the ongoing assessment of capillary refill and peripheral pulses in the client's fingers to the unlicensed assistive personnel (UAP).
- CPrioritizing a referral to a behavioral health specialist for the agitation while dismissing a new onset of mild tachycardia and narrowing pulse pressure.
- DReassuring the client by stating, "The physical therapist will ensure you make a complete recovery, so there is no need to be upset."
Cevap
Consulting an occupational therapist to evaluate the client for custom hand splints and adaptive feeding equipment.
Occupational therapists specialize in assisting clients to regain independence in activities of daily living (ADLs) through the rehabilitation of fine motor skills, upper extremity function, and the provision of customized adaptive equipment (like splints and adapted utensils). Given the client's bilateral wrist fractures and inability to self-feed, this is the most accurate and beneficial interdisciplinary referral.
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Anahtar Kavram
Interprofessional collaboration involves accurately utilizing allied health scopes of practice (such as Occupational Therapy for ADLs and fine motor skills) while maintaining strict adherence to safe delegation, therapeutic communication, and physiological prioritization.
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