A nurse is caring for a client who has dysphagia following a stroke.
The nurse should recommend a referral to which of the following members of the interdisciplinary team?
Occupational therapist.
Respiratory therapist.
Speech therapist.
Physical therapist.
The Correct Answer is C
Choice A rationale
Occupational therapists focus on assisting clients with daily living activities and adapting their environment. While important in overall rehabilitation, they do not specialize in addressing swallowing difficulties caused by dysphagia.
Choice B rationale
Respiratory therapists specialize in pulmonary care and respiratory management, including administering oxygen therapy. They do not address swallowing disorders, as their scope centers on respiratory functions.
Choice C rationale
Speech therapists are experts in managing dysphagia. They evaluate and treat swallowing disorders, providing strategies to improve swallowing function and safety, including dietary adjustments and therapeutic exercises.
Choice D rationale
Physical therapists specialize in mobility and musculoskeletal rehabilitation. While valuable in stroke recovery, their focus does not include managing dysphagia or its associated risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Palm oil is high in saturated fats, which increase LDL cholesterol levels and promote atherosclerosis progression, making it unsuitable for lowering fat and cholesterol.
Choice B rationale
Increasing consumption of 2% milk elevates intake of saturated fats, which can raise LDL cholesterol levels, negating dietary goals for atherosclerosis management.
Choice C rationale
Limiting meat portions to 3 ounces per meal controls saturated fat intake, reducing LDL cholesterol levels. It aligns with dietary recommendations for managing atherosclerosis.
Choice D rationale
Baked goods containing trans fats increase LDL cholesterol while decreasing HDL cholesterol levels, worsening atherosclerosis risk and contradicting dietary teaching. .
Correct Answer is D
Explanation
Choice A rationale
Vitamin B12 is administered intramuscularly but does not require the Z-track method as it does not irritate subcutaneous tissues. The Z-track method is reserved for drugs causing tissue staining or irritation.
Choice B rationale
Folic acid is typically given orally or intravenously and does not necessitate the Z-track method. It is well-tolerated by subcutaneous tissues and does not cause irritation.
Choice C rationale
Epoetin alfa is administered subcutaneously or intravenously without requiring the Z-track method. It is used to stimulate red blood cell production and does not stain or irritate tissues.
Choice D rationale
Iron dextran requires the Z-track method due to its potential to stain and irritate subcutaneous tissues. This method prevents leakage into surrounding tissue, ensuring proper drug absorption. .
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