A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team?

Speech-language pathologist.

Occupational therapist.

Respiratory therapist.

Social worker.

Answer and Explanation

The Correct Answer is A

Choice A reason: A speech-language pathologist assesses swallowing difficulties, recommending safe feeding techniques for dysphagia, critical for preventing choking and aspiration in older adults. This referral ensures tailored interventions, essential for nutritional safety, reducing pneumonia risk, and supporting quality of life in long-term care settings.

Choice B reason: Occupational therapists address functional skills, not primarily swallowing, which is managed by speech-language pathologists for dysphagia. Assuming their role risks delayed swallowing assessment, potentially increasing choking risk, critical to avoid in ensuring safe eating for older adults in long-term care facilities.

Choice C reason: Respiratory therapists manage breathing issues, not swallowing difficulties, which require a speech-language pathologist for dysphagia. Assuming their involvement risks missing specialized swallowing care, potentially leading to aspiration, critical to prevent in ensuring safe nutrition for older adults with choking risks.

Choice D reason: Social workers address psychosocial needs, not swallowing issues, managed by speech-language pathologists for dysphagia. Assuming their role risks neglecting physical swallowing assessment, increasing choking or aspiration risk, critical to avoid in ensuring safe meal management for older adults in long-term care.

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Correct Answer is B

Explanation

Choice A reason: A direct approach may overwhelm a toddler, who needs simple, visual explanations like diagrams to reduce fear. Assuming a direct approach is best risks anxiety, critical to avoid in ensuring a toddler’s emotional comfort and cooperation during preparation for medical procedures.

Choice B reason: Explaining the procedure with simple diagrams is age-appropriate for toddlers, reducing fear and enhancing understanding through visuals. This is critical for cooperation, supporting emotional well-being, ensuring effective preparation, and promoting a positive experience during medical procedures in young children.

Choice C reason: Preparing a toddler 1 day in advance may increase anxiety due to limited time comprehension; same-day preparation is better. Assuming advance preparation is ideal risks distress, critical to prevent in ensuring emotional readiness and cooperation for toddlers undergoing medical procedures.

Choice D reason: Demonstrating equipment may scare toddlers without context; simple diagrams are more effective for preparation. Assuming demonstration is best risks increasing fear, critical to avoid in ensuring a toddler’s comfort and understanding during preparation for medical procedures in healthcare settings.

A. Place the client in a supine position while resting. B. Perform an ECG every 12 hours. C. Draw a troponin level every 4 hours. D. Obtain a cardiac rehabilitation consultation.

Correct Answer is D

Explanation

Choice A reason: Supine positioning risks respiratory strain post-myocardial infarction; semi-Fowler’s is preferred. Cardiac rehabilitation is appropriate. Assuming supine is correct risks discomfort or complications, critical to avoid in ensuring proper positioning and recovery support for clients 3 days post-acute myocardial infarction.

Choice B reason: ECG every 12 hours is excessive 3 days post-myocardial infarction unless symptomatic; daily or as-needed is standard. Rehabilitation consultation is key. Assuming frequent ECGs risks unnecessary testing, critical to prevent in focusing on recovery planning and rehabilitation for post-infarction clients.

Choice C reason: Troponin levels every 4 hours are unnecessary 3 days post-myocardial infarction, as levels peak earlier; rehabilitation is priority. Assuming frequent troponin checks risks redundant testing, critical to avoid in ensuring appropriate care focus on recovery and rehabilitation post-acute myocardial infarction.

Choice D reason: Obtaining a cardiac rehabilitation consultation 3 days post-myocardial infarction supports recovery through structured exercise and education, critical for preventing further events. This intervention promotes long-term cardiac health, essential for reducing readmissions, enhancing recovery, and improving quality of life in post-infarction clients.

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A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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