A nurse is caring for a client who has dysphagia following a stroke. The nurse should recommend a referral to which of the following members of the interdisciplinary team?
Speech therapist
Respiratory therapist
Occupational therapist
Physical therapist
The Correct Answer is A
Choice A Reason:
Speech therapists, also known as speech-language pathologists, specialize in evaluating and treating swallowing difficulties (dysphagia) among other speech and language issues. They are trained to assess and provide therapies to improve swallowing function, ensuring safe and effective swallowing to prevent aspiration and related complications.
Choice B Reason:
Respiratory therapists primarily focus on the respiratory system and breathing issues. While they play a crucial role in managing respiratory problems, their expertise generally centers around respiratory treatments, ventilator management, and pulmonary function testing. They might assist if dysphagia leads to aspiration and subsequent respiratory complications, but the primary management of dysphagia itself falls within the scope of a speech therapist.
Choice C Reason:
Occupational therapists assist individuals in regaining independence in daily activities. While they may help with certain aspects of dysphagia management, their primary focus isn't specifically on evaluating and treating swallowing disorders. They might address related issues, such as adapting eating utensils or positioning during meals to assist the client, but they may not have the specialized training needed for direct dysphagia therapy.
Choice D Reason:
Physical therapists primarily focus on improving mobility, strength, and physical function. While they might address certain issues related to oral motor function or posture during eating that could affect swallowing, their expertise lies more in physical rehabilitation rather than the specialized treatment of dysphagia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"I'll make sure I stay away from microwave ovens." This statement is incorrect . While there were concerns about interference in the past, modern pacemakers are generally not affected by household appliances like microwave ovens.
Choice B Reason:
"I should have an MRI, rather than a CAT scan, if necessary." This statement is incorrect. Both MRI and CAT scans have considerations when a person has a pacemaker. An MRI might be contraindicated due to the magnetic field, while a CAT scan might be a safer imaging choice.
Choice C Reason:
"I'll hold my cell phone against the ear on the opposite side of my body." This statement reflects an understanding of the precaution to avoid holding a cell phone directly over the implanted pacemaker. Keeping the phone on the opposite side helps minimize the potential interference with the pacemaker's function.
Choice D Reason:
"I shouldn't travel by plane because of airport security." This statement is incorrect. Airport security systems generally don't affect pacemakers, so traveling by plane is usually safe. However, informing security personnel about the presence of a pacemaker is a good practice.
Correct Answer is B
Explanation
Choice A Reason:
The client had a hemorrhoidectomy 1 year ago is appropriate. While hemorrhoids involve bleeding in the anal area, the blood from hemorrhoids is usually visibly present and not considered "occult" or hidden. A history of hemorrhoidectomy is less likely to cause a false-positive occult blood test result as the bleeding is typically visible.
Choice B Reason:
The client takes ibuprofen for headaches is correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can irritate the gastrointestinal tract, leading to small amounts of bleeding. This bleeding, although not typically visible, can be detected by occult blood tests, resulting in a false-positive result
Choice C Reason:
The client has a history of breast cancer is incorrect. A history of breast cancer, in itself, is not directly related to gastrointestinal bleeding that would lead to a false-positive result in an occult blood test. Occult blood screening tests primarily detect bleeding from the gastrointestinal tract.
Choice D Reason:
The client consumed citrus juice 3 days before the test is incorrect. Consumption of citrus juice is not known to cause false-positive results in occult blood screening tests. These tests are designed to detect blood specifically from the gastrointestinal tract and aren't affected by citrus juice consumption.
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