A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

Respiratory therapist

Speech-language pathologist

Registered dietitian

Occupational therapist

Answer and Explanation

The Correct Answer is B

A.   While a respiratory therapist may be involved in the care of a client with dysphagia, their primary focus is on respiratory function rather than swallowing difficulties.
B.   A speech-language pathologist specializes in the assessment and treatment of swallowing disorders (dysphagia) and would be the most appropriate interprofessional team member to address this client's needs.

C.   A registered dietitian may be involved in the client's care to provide guidance on appropriate nutrition and dietary modifications, but they do not typically specialize in the assessment and
treatment of dysphagia.
D.   An occupational therapist may be involved in the client's care for other aspects of
rehabilitation, such as activities of daily living and upper extremity function, but they do not typically specialize in the assessment and treatment of dysphagia.

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Correct Answer is A

Explanation

A. Nail polish can interfere with the accuracy of pulse oximetry readings by absorbing or

reflecting light, leading to falsely low oxygen saturation readings. It's essential to remove nail polish or acrylic nails from the finger used for pulse oximetry to obtain accurate results.
B. While an elevated hemoglobin level may affect the oxygen-carrying capacity of the blood, it does not directly influence the accuracy of pulse oximetry readings.

C. Fever may affect oxygen saturation levels indirectly by increasing metabolic demand or
respiratory rate, but it does not directly interfere with the accuracy of pulse oximetry readings.
D. Wearing a ring does not typically interfere with pulse oximetry readings unless the ring is very tight and impairs blood flow to the finger. However, nail polish is a more significant
concern for accurate readings.

A. Obtain consent from the client. B. Request that the provider sign the consent form. C. Prepare the client for surgery with implied consent. D. Postpone the procedure until the staff contacts the guardian.

Correct Answer is C

Explanation

A. While obtaining consent from the client is ideal, it may not be appropriate if the client is unable to understand and make an informed decision due to their developmental disability.

B. The provider cannot sign the consent form in place of the legal guardian or the patient, as this would be a conflict of interest.

C. In emergency situations where delaying the procedure could jeopardize the client's life, and the appointed guardian cannot be reached, implied consent is assumed. This means that life-saving treatment can proceed without formal consent.

D. Postponing an emergency procedure that is necessary to save the client's life is not appropriate. In such cases, the surgery should proceed under implied consent.

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A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

Correct Answer is A

Explanation

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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