A nurse is caring for a client who has right-sided weakness and difficulty swallowing after a stroke. The nurse should ensure the client has referrals to which of the following members of the interprofessional care team? (Select all that apply.)

Speech pathologist

Respiratory therapist

Occupational therapist

Physical therapist

Pharmacist

Answer and Explanation

Correct Answer : A,C,D

Rationale:

A. Speech pathologist: A speech pathologist evaluates and treats dysphagia (difficulty swallowing) and communication impairments following a stroke. This referral is essential to assess swallowing safety and prevent aspiration.

B. Respiratory therapist: A respiratory therapist assists with pulmonary care, oxygen therapy, or ventilatory support. Unless the client has respiratory complications, a referral is not typically indicated solely for stroke-related weakness or swallowing difficulty.

C. Occupational therapist: An occupational therapist helps the client regain the ability to perform daily activities (e.g., dressing, grooming) that may be impaired by right-sided weakness. This referral supports independence and rehabilitation.

D. Physical therapist: A physical therapist works to improve mobility, balance, and strength in clients with musculoskeletal impairments after a stroke. Right-sided weakness makes this referral highly appropriate for motor recovery.

E. Pharmacist: A pharmacist ensures appropriate medication management, but a direct referral is not typically required for stroke rehabilitation unless there are specific medication concerns or complexities.

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Correct Answer is B

Explanation

Rationale:

A. Social worker: A social worker assists with discharge planning, community resources, and emotional or financial support, but does not assess or manage swallowing difficulties.

B. Speech therapist: A speech therapist specializes in evaluating and treating swallowing disorders (dysphagia), especially after neurological events like a stroke. They play a crucial role in preventing aspiration and developing a safe feeding plan.

C. Physical therapist: A physical therapist focuses on mobility, strength, and ambulation training after injury or stroke. While vital for overall recovery, they are not involved in assessing or treating swallowing function.

D. Dentist: Dentists manage oral health, dental structures, and hygiene but are not involved in evaluating or treating swallowing difficulties related to stroke.

A. "My anxiety has been getting a little easier to deal with every day." B. "I have not had any cravings to drink since my visit last week." C. "When I had one drink last week. I had extreme nausea and vomited several times." D. “Since I quit drinking. I have not had any hallucinations."

Correct Answer is B

Explanation

Rationale:

A. "My anxiety has been getting a little easier to deal with every day." Naltrexone is not primarily used to treat anxiety. While improvement in anxiety may occur secondarily as alcohol use decreases, this statement does not directly reflect the intended therapeutic effect of naltrexone in substance use treatment.

B. "I have not had any cravings to drink since my visit last week." Naltrexone works by blocking opioid receptors involved in the brain’s reward system, reducing cravings and the pleasurable effects of alcohol. Decreased alcohol craving is a direct and expected response to naltrexone therapy in clients with alcohol use disorder.

C. "When I had one drink last week. I had extreme nausea and vomited several times."
This describes the effect of disulfiram, not naltrexone. Disulfiram causes an aversive reaction to alcohol, while naltrexone does not produce sickness when alcohol is consumed; it simply reduces the reward response.

D. “Since I quit drinking. I have not had any hallucinations." Hallucinations are associated with alcohol withdrawal, not the effect of naltrexone. Naltrexone does not prevent withdrawal symptoms or hallucinations; it is used after detox to help maintain abstinence and reduce relapse.

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A nurse is caring for a client who has right-sided weakness and difficulty swallowing after a stroke. The nurse should ensure the client has referrals to which of the following members of the interprofessional care team? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who had a stroke and is having difficulty swallowing. The nurse should recommend a referral to which of the following members of the interprofessional team?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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