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 A

Explanation

A. Severe wheezing indicates a potential allergic reaction or anaphylaxis to the IV antibiotics, which requires immediate intervention. It can compromise the client's respiratory function and may lead to respiratory arrest if not promptly addressed.

B. Rhinitis, or inflammation of the nasal passages, is not typically associated with IV antibiotic administration and is not a life-threatening emergency.
C. Small, raised vesicles over the body may indicate a rash or allergic reaction, but unless accompanied by other severe symptoms such as difficulty breathing or systemic signs of anaphylaxis, it does not require immediate reporting.
D. Itching of the skin may indicate a mild allergic reaction, but unless accompanied by more severe symptoms, it does not require immediate reporting.

A. Clammy skin B. Tortuous veins C. Bradycardia D. Calf swelling

Correct Answer is D

Explanation

A. Clammy skin may indicate various conditions, including shock or anxiety, but it is not

specifically indicative of deep-vein thrombosis. It is not the most concerning finding in this scenario.
B. Tortuous veins refer to veins that are twisted or enlarged, often visible on the surface of the skin. While tortuous veins may be present in some cases of deep-vein thrombosis, they are not a definitive sign and are less concerning than other symptoms.
C. Bradycardia, a slower than normal heart rate, is not typically associated with deep-vein

thrombosis. It may indicate other cardiovascular or systemic issues but is not the priority in this situation.
D. Calf swelling, especially unilateral swelling, is a common and concerning sign of deep-vein

thrombosis. It results from impaired venous return due to the presence of a blood clot in the deep veins of the leg. Prompt reporting of this finding is essential for further evaluation and
intervention.

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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

A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

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