A nurse is reviewing the prescriptions for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify?
Speech therapy referral
Dietitian consult
Oral suction at the bedside
Clear liquids
The Correct Answer is D
A. Speech therapy referral: A speech therapy referral is appropriate for a client with dysphagia following a stroke. Speech therapists can assess the severity of swallowing difficulties and provide strategies to improve swallowing function. This is standard care.
B. Dietitian consult: A dietitian consult is essential to ensure proper nutritional intake and modify the client's diet for safe swallowing. A dietitian can help adjust the texture of foods and recommend alternatives to reduce the risk of aspiration.
C. Oral suction at the bedside: Oral suctioning is a precautionary measure for clients with dysphagia to clear any potential obstructions from the airway. It’s essential to have suction equipment available at the bedside in case of choking or aspiration.
D. Clear liquids: Clear liquids are not recommended for clients with dysphagia because they pose a higher risk for aspiration. Clear liquids can be difficult for individuals with swallowing difficulties to control and may lead to choking or aspiration pneumonia.
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Related Questions
Correct Answer is B
Explanation
A. "You should use woolen blankets on your bed": Woolen blankets are highly flammable and pose a fire risk when oxygen is in use. Clients should avoid using woolen or synthetic materials near oxygen tanks and instead use materials that are less likely to catch fire.
B. "You should purchase a fire extinguisher for your home": Oxygen is highly flammable, and having a fire extinguisher readily available in the home is crucial for safety. The nurse should encourage the client to keep a fire extinguisher nearby in case of any oxygen-related fire emergencies.
C. "You will no longer be able to use an electric razor": Electric razors are safe to use while on oxygen therapy, as they are not typically a fire hazard. However, clients should avoid using razors that require flammable substances, such as shaving cream, around oxygen.
D. "Family members who smoke must do so at least 6 feet away from the oxygen tank": Smoking near oxygen tanks is extremely dangerous, and family members should avoid smoking entirely in areas where oxygen is in use. It is important to maintain a safe distance of at least 10 feet or more from oxygen sources when smoking.
Correct Answer is A
Explanation
A. Primary provider: The primary provider is responsible for assessing a client’s capacity to make their own medical decisions. They determine whether the client is able to understand the nature of their condition and the treatment options available.
B. Charge nurse: While the charge nurse plays an important role in overseeing nursing care and ensuring proper communication, the decision about whether a client is capable of making their own medical decisions falls to the primary provider, not the charge nurse.
C. Health care surrogate: A health care surrogate is an individual designated to make medical decisions for a client when they are unable to do so themselves. However, the primary provider is responsible for determining if the client has the capacity to make decisions before a surrogate is involved.
D. Social worker: Social workers provide support and assistance with advance directives and decision-making, but the responsibility for evaluating whether the client can make medical decisions lies with the primary provider, not the social worker.
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