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

Emptying the drainage bag once a day is not frequent enough and could lead to overfilling and potential urinary tract infections.

Applying antiseptic ointment to the tip of the penis is not recommended as it can cause irritation and increase the risk of infection.

Keeping the drainage bag below the level of the waist helps prevent backflow of urine into the bladder and reduces the risk of infection.

Clamping the tube when going for a walk can cause urine to back up into the bladder and increase the risk of infection.

A. Secure the restraints with a square knot. B. Check the client's range of motion every 6 hr. C. Make sure two fingers fit under the restraints. D. Request a prescription renewal from the provider every 36 hr.

Correct Answer is C

Explanation

A. Securing the restraints with a square knot may be too tight and could restrict circulation or cause injury. Using a quick-release knot is preferable to allow for quick removal if necessary.
B. While it is important to assess the client's range of motion regularly, this action does not directly address the proper application of the restraints.

C. This is the correct action to ensure that the restraints are not too tight, allowing for adequate circulation and preventing injury. The ability to fit two fingers under the restraints ensures that they are applied with proper tension.
D. Requesting a prescription renewal from the provider every 36 hours may be necessary according to facility policy, but it does not directly address the proper application of the
restraints.

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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

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