A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the following referrals should the nurse make?
Speech-language pathologist
Respiratory therapist
Occupational therapist
Social services
The Correct Answer is A
A. Speech-language pathologist: Clients with dysphagia benefit most from a referral to a speech-language pathologist, who specializes in assessing swallowing ability and providing strategies or diet modifications to reduce aspiration risk.
B. Respiratory therapist: A respiratory therapist assists with breathing treatments, oxygen management, and airway clearance. While aspiration can affect the lungs, preventing aspiration requires swallowing assessment, not respiratory therapy.
C. Occupational therapist: An occupational therapist helps clients improve skills for daily living, such as self-feeding techniques. While supportive, this does not directly assess or correct the swallowing dysfunction that causes aspiration risk.
D. Social services: Social services provide support for discharge planning, financial assistance, and psychosocial needs. They do not play a role in evaluating or treating swallowing difficulties related to dysphagia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Cover your nose and mouth with a tissue when coughing.": Covering both the nose and mouth with a tissue prevents respiratory droplets from spreading into the environment, reducing transmission of influenza to others. Proper disposal of the tissue and hand hygiene should follow.
B. "If you are coughing frequently, you should wear gloves when preparing meals.": Gloves are not a primary measure for cough etiquette. Hand hygiene and avoiding food preparation while symptomatic are more effective in preventing the spread of influenza.
C. "Stay 2 feet away from others when coughing.": Droplet precautions for influenza recommend maintaining at least 3 feet of distance, and ideally up to 6 feet, to prevent exposure. Two feet is inadequate to protect others from respiratory droplets.
D. "Turn your head away when coughing.": Turning the head alone does not sufficiently contain respiratory secretions. Droplets can still disperse into the air, so using a tissue or the elbow crease is more effective.
Correct Answer is A
Explanation
A. Determine how the client views the concept of a family: Understanding the client’s personal definition of family helps the nurse identify who the client considers significant for support and involvement in care planning, ensuring a patient-centered approach.
B. Identify how culture influences family functioning: Cultural influences are important in understanding family dynamics, but assessing the client’s perception of family comes first. Culture shapes interactions, but only after the nurse knows who the family members are from the client’s perspective.
C. Determine if the client has an external support system: Knowing about external supports is valuable, but this information is secondary to identifying the client’s family structure and relationships. Support systems can be assessed once the family context is clear.
D. Identify how the family deals with unexpected health changes: Assessing coping strategies is necessary for planning interventions, but it should occur after the nurse has first established who comprises the client’s family and understands their roles.
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