An interdisciplinary team is caring for a client on a ...

[FButt]

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 2

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.

[jlaineee]

Answer to Question 1

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.

Answer to Question 2

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.