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
Lansoprazole does not typically cause indigestion; it treats conditions like GERD by reducing stomach acid production. Indigestion as a side effect would indicate an abnormal reaction.
Choice B rationale
Lansoprazole is best taken before a meal to optimize its ability to suppress gastric acid secretion. Taking it after a meal may reduce its effectiveness.
Choice C rationale
Reporting diarrhea is essential as it may indicate a rare but serious adverse effect like Clostridioides difficile-associated diarrhea. Early reporting helps prevent complications.
Choice D rationale
Lansoprazole capsules should not be chewed as the medication is designed for delayed release. Chewing disrupts this mechanism, leading to reduced efficacy or increased side effects.
Correct Answer is A
Explanation
Choice A rationale
Cracks at the corners of the mouth, or cheilosis, are often associated with nutritional deficiencies like iron or vitamin B deficiencies. Monitoring for these cracks helps diagnose and treat the underlying condition.
Choice B rationale
A reddened tongue is typically associated with vitamin B12 deficiency or other conditions but not cheilosis. It can help identify a different deficiency or condition.
Choice C rationale
Pale conjunctiva is an indicator of anemia but does not specifically correlate with cheilosis. It suggests reduced hemoglobin levels due to iron deficiency.
Choice D rationale
Brittle fingernails may result from chronic iron deficiency anemia but are not directly related to cheilosis. They serve as additional evidence of prolonged anemia.
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