Correct Answer: B

Rationale: An occupational therapist specializes in assisting with ADLs, helping the stroke client regain independence in daily tasks. Physical therapists focus on mobility, speech-language pathologists address communication/swallowing, dieticians manage nutrition, and social workers handle psychosocial needs.

Correct Answer: C

Rationale: With negative TB tests, the nurse should review the client’s medical history and reassess symptoms to identify other potential causes (e.g., pneumonia, cancer). Initiating TB treatment, repeating tests, TB education, or ordering a CT scan are inappropriate without further assessment. Tuberculosis Symptoms

Correct Answer: A

Rationale: Securing tracheostomy ties to allow one finger to fit snugly ensures the tube is stable without being too tight, preventing skin breakdown or dislodgement. Normal saline is not typically used for stoma cleaning (sterile solutions are preferred), soaking the outer cannula in soapy water is not recommended, and cotton tip applicators risk leaving fibers in the cannula. Applying a warm compress is incorrect, as it may promote infection or irritation.

Correct Answer: A

Rationale: Potassium 5.8 mEq/L is above the normal range (3.6–5.2 mEq/L) and indicates hyperkalemia, which can cause cardiac arrhythmias and requires immediate reporting. Sodium (135–145 mEq/L), magnesium (1.7–2.2 mEq/L), and calcium (8.5–10.2 mg/dL) values are within normal ranges. Glucose 110 mg/dL is normal and does not require reporting.

Correct Answer: A

Rationale: Applying a bath blanket between the client and a cooling blanket regulates temperature comfortably. Ice packs risk localized cold injury, alcohol-water baths are outdated and unsafe, and heavy blankets can increase fever. Antibiotics are inappropriate without evidence of bacterial infection.