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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When discussing electrical hazards with a client, the nurse should include the statement "You should limit your use of extension cords." Extension cords can be a tripping hazard and may cause electrical shocks or fires if used improperly. The nurse should also recommend using surge protectors and avoiding overloading electrical outlets. The client should be advised to unplug electrical items by pulling on the plug, not the cord, and to avoid using electrical items near water.
Correct Answer is A
Explanation
The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.
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