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 D
Explanation
The correct answer is choice D. Agricultural workers who are exposed to pesticides are at risk for dizziness, headache, nausea, and vomiting. Dizziness is a common acute effect of pesticide exposure. Hypoglycemia is not a common effect of pesticide exposure, although it can occur in some cases of organophosphate poisoning. Oliguria is a decrease in urine output, and diplopia is a condition where an individual experiences double vision, neither of which is commonly associated with acute pesticide exposure.
Correct Answer is B
Explanation
The correct answer is choice B. When caring for clients from different cultural backgrounds, it is important to be respectful and non-judgmental. In this situation, the nurse should ask the family to describe how they hope the treatments will affect their health. This will allow the nurse to gain a better understanding of the family's beliefs and values regarding health and illness. The nurse should avoid making assumptions or judgments about the family's beliefs and should not criticize or dismiss the folk healer. Alternative medicine practices (choice A) can be dangerous in some cases, but it is not appropriate to make a blanket statement that they should be avoided. Suggesting that folk medicine works by providing a placebo effect (choice C) is not respectful of the family's beliefs and is dismissive of their cultural practices. Referring the family to a medical practitioner (choice D) may not be appropriate if the family has a strong belief in folk medicine practices.
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