A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team?

Speech-language pathologist.

Occupational therapist.

Respiratory therapist.

Social worker.

Answer and Explanation

The Correct Answer is A

Choice A reason: A speech-language pathologist assesses swallowing difficulties, recommending safe feeding techniques for dysphagia, critical for preventing choking and aspiration in older adults. This referral ensures tailored interventions, essential for nutritional safety, reducing pneumonia risk, and supporting quality of life in long-term care settings.

Choice B reason: Occupational therapists address functional skills, not primarily swallowing, which is managed by speech-language pathologists for dysphagia. Assuming their role risks delayed swallowing assessment, potentially increasing choking risk, critical to avoid in ensuring safe eating for older adults in long-term care facilities.

Choice C reason: Respiratory therapists manage breathing issues, not swallowing difficulties, which require a speech-language pathologist for dysphagia. Assuming their involvement risks missing specialized swallowing care, potentially leading to aspiration, critical to prevent in ensuring safe nutrition for older adults with choking risks.

Choice D reason: Social workers address psychosocial needs, not swallowing issues, managed by speech-language pathologists for dysphagia. Assuming their role risks neglecting physical swallowing assessment, increasing choking or aspiration risk, critical to avoid in ensuring safe meal management for older adults in long-term care.

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Correct Answer is D

Explanation

Choice A reason: Bed rest for 24 hours post-surgery increases stasis, risking thrombosis; range-of-motion exercises promote circulation. Assuming bed rest is correct risks complications, critical to avoid in ensuring active circulation and preventing venous thromboembolism in postoperative clients during recovery.

Choice B reason: Placing a pillow under knees promotes venous pooling, increasing clot risk; range-of-motion exercises are safer. Assuming pillow use is correct risks impaired circulation, critical to prevent in ensuring effective postoperative care and reducing thrombosis risk in surgical clients.

Choice C reason: Incentive spirometry prevents respiratory complications, not directly promoting circulation; range-of-motion exercises are key. Assuming spirometry aids circulation risks overlooking mobility needs, critical to avoid in ensuring proper venous return and clot prevention in postoperative clients during recovery.

Choice D reason: Range-of-motion exercises promote circulation post-surgery, preventing venous stasis and thrombosis, critical for recovery. This instruction ensures active blood flow, essential for reducing clot risk, supporting healing, and enhancing postoperative outcomes in clients across various surgical procedures.

A. Wear gloves to apply the patch to the client’s skin. B. Remove the previous patch and place it in a tissue. C. Apply the patch within 1 hour of removing it from the protective pouch. D. Shave hairy areas of skin prior to application.

Correct Answer is A

Explanation

Choice A reason: Wearing gloves prevents nicotine absorption through the nurse’s skin during patch application, ensuring safety and preventing side effects like dizziness. This adheres to standard precautions, critical for occupational health, maintaining hygiene, and ensuring effective nicotine therapy for clients in smoking cessation programs.

Choice B reason: Removing the previous patch is correct but placing it in tissue is inadequate; it should be folded and disposed in a sharps container. Assuming tissue disposal is sufficient risks improper handling, potentially exposing others to nicotine, critical to avoid in safe patch management.

Choice C reason: Applying the patch within 1 hour of pouch removal is unnecessary; patches remain stable longer. Wearing gloves is priority. Assuming time restriction risks rushed application, potentially compromising technique, critical to prevent in ensuring safe and effective nicotine patch therapy for smoking cessation.

Choice D reason: Shaving hairy areas risks skin irritation; trimming is preferred before patch application. Wearing gloves is essential. Assuming shaving is correct risks skin damage, reducing patch adhesion, critical to avoid in ensuring proper application and effective nicotine delivery in smoking cessation therapy.

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A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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