A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?

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.

Choice A Reason:
Chill the dialysate prior to infusion. Generally, the dialysate used in peritoneal dialysis is warmed to body temperature before infusion to enhance comfort and prevent abdominal discomfort. Chilling the dialysate can cause discomfort and is not a standard practice in peritoneal dialysis.
Choice B Reason:
Monitor the client for diarrhea. While gastrointestinal symptoms might occur in some individuals undergoing peritoneal dialysis due to changes in fluid balance, diarrhea is not a typical or expected outcome. However, monitoring for any unusual gastrointestinal symptoms or changes in bowel habits is part of holistic client care.
Choice C Reason:
Weigh the client before and after the treatment. Weighing the client before and after peritoneal dialysis is a critical step to assess the effectiveness of the treatment. The difference in weight helps determine how much fluid was removed during the dialysis process, providing valuable information about the treatment's efficacy and the client's fluid status.
Choice D Reason:
Use clean gloves when handling dialysate bags. Maintaining aseptic technique during peritoneal dialysis is crucial to prevent infections. The use of clean gloves (not sterile gloves, unless otherwise specified) when handling dialysate bags helps minimize the risk of contamination, ensuring the safety of the procedure.