A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?

A. Speech-language pathologist: A speech-language pathologist specializes in assessing and treating swallowing disorders (dysphagia). They conduct swallowing evaluations and recommend appropriate strategies, exercises, and diet modifications to ensure safe swallowing and reduce the risk of aspiration.

B. Occupational therapist: An occupational therapist helps clients regain the ability to perform daily activities, including self-feeding. They provide adaptive strategies, recommend assistive devices, and work on improving fine motor skills to enhance independence during meals.

C. Dietitian: A dietitian assesses the client’s nutritional needs and recommends appropriate diet modifications, such as texture-altered foods or thickened liquids, to ensure adequate nutrition while reducing the risk of choking or aspiration. They collaborate with other team members to create a safe and balanced meal plan.

D. Psychologist: While a psychologist can help address emotional and psychological challenges following a stroke, they are not directly involved in managing swallowing difficulties. Their role focuses more on mental health, coping strategies, and emotional adjustment rather than dysphagia management.

E. Pharmacy technician: A pharmacy technician primarily assists with medication dispensing and does not have a role in evaluating or managing swallowing difficulties. Medication concerns related to swallowing would be addressed by a pharmacist rather than a pharmacy technician.

A. "To harvest a client's organs, they must provide consent prior to death.": Consent can be obtained after death if the individual had previously registered as a donor or if the next of kin provides consent. Organ donation can still occur if the donor has indicated their wishes prior to passing.

B. "The donor client's provider will harvest the organs for donation.": Organ harvesting is typically performed by a specialized team trained in organ procurement, not the primary care provider. The harvesting is conducted by professionals specifically designated for that purpose, ensuring expertise and proper protocols are followed.

C. "During admission, all clients over the age of 18 should be asked about their organ donor status.": It is standard practice to inquire about organ donation status upon admission to ensure that the healthcare team is aware of the client's wishes regarding organ donation. This process helps facilitate informed discussions and planning for potential organ donation.

D. "The National Organ Transplant Act prohibits the sale and purchase of organs.": The Act emphasizes that organ donation should be voluntary and altruistic, making it illegal to buy or sell organs. This law is in place to protect the integrity of the organ donation system and ensure ethical practices.

E. "Documentation about the client's organ donor preference is placed in the electronic medical record.": Documenting the client's organ donor status in their electronic medical record ensures that healthcare providers have access to this important information. It helps to facilitate communication among healthcare providers and supports adherence to the client's wishes.