A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

A. Honey: In Traditional Chinese Medicine (TCM), yin and yang are concepts used to describe the balance between opposing forces in the body. Yin represents coolness, darkness, and calmness, while yang represents warmth, brightness, and activity. In TCM, headaches may be viewed as an imbalance between yin and yang energies.

Given this perspective, honey is considered a yin-nourishing food in TCM. It is believed to have cooling properties that can help balance excess yang energy in the body. Therefore, the client who believes in the concept of yin and yang may choose honey to treat their headache, aiming to restore balance by reducing yang energy.

B. Fresh vegetables: While fresh vegetables are generally considered healthy and nutritious, they do not have specific associations with yin or yang energies in TCM. Therefore, the client may not necessarily choose fresh vegetables to address a headache based on the yin-yang concept.

C. Chicken: Chicken is a neutral food in TCM and is not specifically associated with either yin or yang energies. Therefore, the client may not necessarily choose chicken to address a headache based on the yin-yang concept.

D. Chili peppers: Chili peppers are considered yang-warming foods in TCM due to their spicy nature. They are believed to increase yang energy in the body. Therefore, the client who believes in the concept of yin and yang may not choose chili peppers to treat their headache, as it may exacerbate yang energy rather than balance it.

A. Occupational therapist: While occupational therapists may be involved in the client's care post-stroke to address functional abilities and activities of daily living, including feeding and meal preparation, they are not specifically trained to assess and treat swallowing disorders like a speech-language pathologist.

B. Physical therapist: Physical therapists focus on improving mobility, strength, balance, and coordination. While they play a crucial role in stroke rehabilitation, particularly in addressing gait and motor deficits, they are not typically involved in the assessment and treatment of swallowing disorders.

C. Social worker: Social workers provide support and resources to clients and their families to address psychosocial and practical concerns related to illness, disability, and rehabilitation. While they may be involved in the client's care for broader support needs, they are not specifically trained to address swallowing disorders like a speech-language pathologist.

D. Speech-language pathologist

A speech-language pathologist specializes in evaluating and treating communication and swallowing disorders. In this scenario, the client's coughing during swallowing indicates a potential swallowing disorder, known as dysphagia, which is common after a stroke. The speech-language pathologist is trained to assess the client's swallowing function, identify any impairments, and develop a treatment plan to improve swallowing safety and efficiency. They may recommend strategies and exercises to address the client's coughing and prevent complications such as aspiration pneumonia.