A nurse is caring for a client who recently had a stroke and states, "I am having trouble swallowing my food." To which of the following members of the interprofessional team should the nurse initiate a referral?

Speech-language pathologist

Physical therapist

Social worker

Occupational therapist

Answer and Explanation

The Correct Answer is A

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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Wait 5 minutes between doses.": Sublingual nitroglycerin is taken to relieve acute angina episodes. The recommended protocol is to place one tablet under the tongue and, if pain persists, repeat every 5 minutes as needed, up to a maximum of three doses within 15 minutes. Waiting 5 minutes between doses allows the medication to work while monitoring for resolution of symptoms or adverse effects.

B. "Place 2 tablets under your tongue.": Only one tablet should be taken initially. Taking multiple tablets at once increases the risk of severe hypotension, headache, and dizziness. Proper dosing is critical to both effectiveness and safety.

C. "You can take up to 4 tablets in 20 minutes.": The maximum recommended is three tablets in 15 minutes, not four in 20 minutes. Exceeding this can cause significant hypotension and cardiovascular complications.

D. "Drink a full glass of water with the medication.": Sublingual nitroglycerin should not be swallowed or taken with water because it needs to dissolve under the tongue for rapid absorption into the bloodstream. Drinking water would reduce its effectiveness.

A. A nurse shares her time fairly among clients. B. A nurse tells a client the truth. C. A nurse allows a client to make her own choices. D. A nurse keeps a promise made to a client.

Correct Answer is D

Explanation

A. A nurse shares her time fairly among clients: This action demonstrates justice, which involves treating clients equitably and distributing resources or time fairly. While important ethically, it does not exemplify fidelity, which focuses on faithfulness and keeping commitments.

B. A nurse tells a client the truth: Telling the truth reflects the ethical principle of veracity, emphasizing honesty and transparency in communication. It is distinct from fidelity, which centers on maintaining trust through promises and commitments.

C. A nurse allows a client to make her own choices: Supporting client autonomy involves respecting the client’s right to make informed decisions about their care. While ethically essential, autonomy differs from fidelity because it is about decision-making rights rather than keeping commitments or promises.

D. A nurse keeps a promise made to a client: Fidelity is the principle of being faithful to commitments, maintaining trust, and keeping promises. When a nurse follows through on a commitment to a client, it demonstrates reliability and loyalty, reinforcing the therapeutic nurse–client relationship.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who recently had a stroke and states, "I am having trouble swallowing my food." To which of the following members of the interprofessional team should the nurse initiate a referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with a client who called the provider's office to report chest pain and requests clarification about how to take their sublingual nitroglycerin. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity?

Correct Answer is D

Explanation

A nurse is assisting with the care of a 2-year-old child. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the child.

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse Include?

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identity as an indication that the client might have compartment syndrome? (Select all that apply.)

A nurse is assisting with the care of a client who has decreased mobility and requires repositioning every 2 hr. Which of the following outcomes should the nurse expect?

A nurse is reinforcing teaching with the family of a client who is receiving palliative care for terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate pain control measures?

A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the following actions should the nurse plan to take?

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the newborn nursery. For which of the following newborn care procedures should the nurse remind the AP to wear clean gloves?