A nurse is assisting with the care of a 2-year-old child.

Which of the following actions should the nurse take when assisting with the implementation of the plan of care? Select all that apply.

A. Speech-language pathologist: Speech-language pathologists (SLPs) are trained to assess and manage dysphagia, including swallowing difficulties after a stroke. They evaluate swallowing function, recommend safe feeding techniques, and provide exercises to improve swallowing ability, directly addressing the client’s expressed concern.

B. Physical therapist: Physical therapists focus on mobility, balance, and strengthening exercises. While important for post-stroke rehabilitation, they do not specialize in swallowing assessment or management. Referral to a PT would not address the client’s immediate swallowing difficulties.

C. Social worker: Social workers provide support for psychosocial needs, discharge planning, and community resources. Although valuable for overall care, they are not responsible for evaluating or treating swallowing disorders.

D. Occupational therapist: Occupational therapists assist with activities of daily living, adaptive equipment, and fine motor skills. While they may help with feeding techniques, the primary assessment and management of dysphagia require an SLP.

A. Accountability: Accountability refers to the nurse being responsible for their actions, decisions, and the outcomes of care provided. While important, simply explaining the purpose of a medication does not directly demonstrate accountability.

B. Autonomy: Autonomy involves supporting a client’s right to make informed decisions about their own care. The nurse’s explanation provides information but does not itself constitute enabling the client’s decision-making; additional discussion and consent would be required to demonstrate autonomy.

C. Veracity: Veracity is the ethical principle of truthfulness. By accurately explaining that furosemide is a diuretic that removes excess fluid, the nurse is providing truthful, clear information, allowing the client to understand their treatment and fostering trust.

D. Justice: Justice involves treating clients fairly and equitably, ensuring equal access to care and resources. Explaining the purpose of a prescribed medication is not an example of justice, as it pertains to truthful communication rather than fairness or resource allocation.