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A nurse is caring for a client. Exhibit 1 Exhibit 2 Nurses’ Notes Day 1, 1230: Nurse is caring for a client who has Parkinson’s disease and fell at home. Client has tremors of hands and voice trembles when speaking. Client states, “I lost my balance and fell.” Client has skin tears on left forearm with bruising. No fracture detected upon x-ray results. Skin dressing on left forearm is dry and intact. Denies pain at this time. Day 1, 1340: Client gets up to go to bathroom with assistance of assistive personnel. Client is stooped over and has shuffling gait. Day 1, 1730: Client delivered meal tray. Client having trouble chewing food and drooling. Client reports difficulty holding utensils. Day 2, 0830: Client doing morning ADLs. Nurse notes client is having trouble with dressing and brushing teeth. AP sent to assist client. The nurse is assessing the client. Which of the following assessment findings should indicate the nurse needs a referral for an occupational therapist? Select all that apply. How the client dresses self Gait Hand findings How the client chews food Oral secretions How the client holds eating utensils
SCIENCE
HEALTH SCIENCE
NURSING

 
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