A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

Respiratory therapist

Speech-language pathologist

Registered dietitian

Occupational therapist

Answer and Explanation

The Correct Answer is B

A.   While a respiratory therapist may be involved in the care of a client with dysphagia, their primary focus is on respiratory function rather than swallowing difficulties.
B.   A speech-language pathologist specializes in the assessment and treatment of swallowing disorders (dysphagia) and would be the most appropriate interprofessional team member to address this client's needs.

C.   A registered dietitian may be involved in the client's care to provide guidance on appropriate nutrition and dietary modifications, but they do not typically specialize in the assessment and
treatment of dysphagia.
D.   An occupational therapist may be involved in the client's care for other aspects of
rehabilitation, such as activities of daily living and upper extremity function, but they do not typically specialize in the assessment and treatment of dysphagia.

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Correct Answer is B

Explanation

A. Increased hunger: Dysphagia is not typically associated with increased hunger.
B. Garbled voice: Difficulty swallowing (dysphagia) can result in a garbled or hoarse voice due to food or liquid entering the airway.
C. Sneezing: While sneezing is not typically associated with dysphagia, it can be a response to irritants in the nasal passages.
D. Rapid chewing: Rapid chewing is not necessarily indicative of dysphagia and may occur for various reasons, such as habit or anxiety.

A. Pull the client's pinna downward and back. B. Cleanse the client's outer ear with isopropyl alcohol to remove wax. C. Hold the ear dropper 1 cm (0.5 in) from the client's ear. D. Request the client remain supine for 10 min following administration.

Correct Answer is C

Explanation

A. This technique is used for children, not adults. To straighten the ear canal for adults, the pinna should be pulled upwards and back.

B. Cleansing the outer ear with isopropyl alcohol is not typically necessary before administering otic medication and may cause irritation to the delicate skin of the ear canal.
C. Holding the dropper 1 cm away allows for better control and accuracy when directing the medication droplets into the ear canal. This helps ensure the medication reaches the intended area within the middle ear. Holding the dropper too close could accidentally touch the ear canal or eardrum, causing discomfort or even injury. Maintaining a slight distance helps prevent the dropper tip from contaminating the ear canal with skin flora from the client or the nurse's hand.
D. While some otic medications might recommend staying still for a short time after administration, 10 minutes is an excessive timeframe for most medications.

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A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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