A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

A client who has dysphagia

A client who asks about community resources

A client who has terminal cancer and requests hospice at home

A client who wants a priest to visit while they are in the hospital

Answer and Explanation

The Correct Answer is A

A. A client who has dysphagia: Dysphagia, or difficulty swallowing, is within the scope of practice for speech therapists. They are trained to assess and treat swallowing disorders to ensure safe and effective eating and drinking.
B. A client who asks about community resources: A social worker or case manager would be more appropriate for addressing questions about community resources.
C. A client who has terminal cancer and requests hospice at home: This client should be referred to a hospice care coordinator, not a speech therapist.
D. A client who wants a priest to visit while they are in the hospital: This need should be addressed by the hospital's chaplain service or spiritual care department.

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Correct Answer is B

Explanation

A. The client states that she will be staying with her daughter after discharge: Staying with her daughter could potentially be a support system, not a barrier to learning.
B. Client states she is having pain: Pain can significantly impair a client's ability to focus and understand new information, making it a potential barrier to learning.
C. The client states she uses a pill container to divide her daily medication: Using a pill container indicates that the client has a system in place for managing medications and is not a barrier to learning.
D. The client states her pharmacy also provides information on the medication: Having access to additional information from the pharmacy is an aid to learning, not a barrier.

A. Reinforcing teaching with a patient who is learning to walk with a quad cane B. A new admission to the unit complaining of chest pain C. Inserting an NGT for a client who is unable to eat D. Calculating intake and output for the unit

Correct Answer is B

Explanation

A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.

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A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

Correct Answer is B

Explanation

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Correct Answer is B

Explanation

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