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 C

Explanation

A. This technique is used for children, not adults. To straighten the ear canal for adults, the pinna should be pulled upwards and back.

B. Cleansing the outer ear with isopropyl alcohol is not typically necessary before administering otic medication and may cause irritation to the delicate skin of the ear canal.
C. Holding the dropper 1 cm away allows for better control and accuracy when directing the medication droplets into the ear canal. This helps ensure the medication reaches the intended area within the middle ear. Holding the dropper too close could accidentally touch the ear canal or eardrum, causing discomfort or even injury. Maintaining a slight distance helps prevent the dropper tip from contaminating the ear canal with skin flora from the client or the nurse's hand.
D. While some otic medications might recommend staying still for a short time after administration, 10 minutes is an excessive timeframe for most medications.

A. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. B. Unlock and remove the inner cannula. C. Scrub the inside and outside of the inner cannula with a small brush. D. Wipe the inside of the inner cannula with a folded pipe cleaner. E. Cleanse the stoma site with 0.9% sodium chloride solution.

Correct Answer is A,B,C,D,E

Explanation

Pouring 0.9% sodium chloride solution into the sterile basin provides the solution necessary for cleaning the inner cannula.

Unlocking and removing the inner cannula is the first step in the process of tracheostomy care.

Scrubbing the inside and outside of the inner cannula with a small brush helps remove secretions and debris.

Wiping the inside of the inner cannula with a folded pipe cleaner further cleans the inner surfaces.

Cleansing the stoma site with 0.9% sodium chloride solution completes the tracheostomy care procedure.

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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 preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

48. A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,B,C,D,E

Explanation

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