Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?

Occupational therapist

Speech-language therapist

Dietitian

Respiratory therapist

Answer and Explanation

The Correct Answer is B

A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.

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Correct Answer is A

Explanation

. Tertiary prevention aims to prevent complications or further deterioration in individuals with existing health problems. Developing resources for victims of abuse is an example of tertiary prevention because it aims to prevent further harm to individuals who have already experienced violence. Presenting community education programs about stress management and urging community leaders to make nonviolence a priority are examples of primary prevention activities, which aim to prevent the occurrence of violence in the first place. Assessing for risk factors of intimate partner abuse during health examinations is an example of secondary prevention, which aims to detect violence early and intervene to prevent its progression.

A. "I will need to have private insurance because Medicare does not cover hospice services." B. "My provider will recommend that I enter hospice care when I have 1 year left C. to live." D. "I can discontinue hospice care whenever I want." E. "I can receive care in the hospital or at home."

Correct Answer is ["C","D","E"]

Explanation

The correct answer is choices C, D, and E. Hospice care is a type of healthcare that focuses on improving the quality of life for individuals who have a terminal illness. Patients who receive hospice care have the option to discontinue this service whenever they want. Hospice care can be provided at home, hospital, or any other place that the patient calls home. In addition, hospice care involves a team of interprofessional team members, such as nurses, social workers, chaplains, and counselors, who provide care to the patient and their family. Hospice care is covered by Medicare, and the patient doesn't need private insurance to receive hospice services. Patients are recommended for hospice care when they have a life expectancy of 6 months or less.

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Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?

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Naxlex Comprehensive Predictor Exams

A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?

Correct Answer is A

Explanation

A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect?

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