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

The correct answer is choice A, "Are you having any thoughts about hurting yourself?" This is the most important question to ask because it assesses the client's risk for suicide, which is a potential complication of depression. The nurse should ask this question before exploring other issues related to the client's depression. If the client expresses suicidal thoughts or intent, the nurse should initiate appropriate interventions to ensure the client's safety.

A. A worker who is wearing a back brace and bends at the waist when picking up a pallet B. A worker who is 7-weeks postoperative following rotator cuff surgery and is labeling boxes C. A worker who is standing in place for extended periods and rests one foot on a box D. A worker standing with a wide base of support when pulling a cart toward himself

Correct Answer is A

Explanation

The worker should be taught to use proper body mechanics, such as keeping the back straight and lifting with the legs, to avoid injury.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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