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?

Choice A rationale

Albumin is a key protein synthesized by the liver and serves as an indicator of nutritional status. Low albumin levels (<3.5 g/dL) suggest poor protein intake or malnutrition, making it a reliable marker for assessing nutritional adequacy.

Choice B rationale

Lipase measures pancreatic function and is not directly related to nutritional intake. Elevated lipase is typically associated with pancreatitis rather than nutritional status.

Choice C rationale

Creatinine clearance evaluates renal function and filtration capacity. While important for assessing kidney health, it does not provide insights into a client's nutritional intake or protein status.

Choice D rationale

CD4-T-cell counts reflect immune function, particularly in HIV/AIDS patients. Although critical for monitoring disease progression, this value does not correlate with nutritional status or dietary adequacy.

Choice A rationale

Administering IV fluids as prescribed can be essential for maintaining fluid balance, but it does not directly address abnormal vital signs unless they are linked to hypovolemia. The nurse should prioritize identifying the cause of the abnormalities first, and then proceed with interventions aimed at stabilization and correction.

Choice B rationale

Placing the client in a supine position can exacerbate certain conditions, such as respiratory distress or hypoxia. While position changes may be needed in specific cases, this is not a primary action for addressing abnormal vital signs unless positional changes are directly implicated.

Choice C rationale

Monitoring for signs of infection is an important ongoing care strategy, especially when abnormal findings suggest potential sepsis. However, it alone does not resolve immediate concerns with abnormal vital signs and must be paired with communication and treatment strategies.

Choice D rationale

Promptly notifying the provider about abnormal findings ensures that the client's condition is evaluated comprehensively. Providers can order additional assessments or interventions to address potential underlying issues, thereby preventing clinical deterioration.