A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Occupational therapist
Speech-language pathologist
Dietitian
Physical therapist
The Correct Answer is C
A. An occupational therapist is not typically needed for cystic fibrosis unless there are specific developmental or functional concerns.
B. A speech-language pathologist is not typically involved in cystic fibrosis unless there are swallowing or feeding difficulties.
C. A dietitian is crucial for managing the nutritional needs of a child with cystic fibrosis. These children often require a high-calorie diet due to malabsorption and increased metabolic demands.
D. A physical therapist may be involved for respiratory therapy, but a dietitian is a priority for addressing nutritional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The CRIES scale is more suitable for assessing pain in neonates.
B. The FACES scale is often used for children who can understand and express their pain with facial expressions; it is not ideal for cognitively impaired toddlers.
C. The Visual analog scale is typically used for older children who can understand the concept of pain intensity.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is appropriate for assessing pain in non-verbal or cognitively impaired toddlers as it evaluates behaviors that indicate discomfort.
Correct Answer is D
Explanation
A. A heart rate of 54/min could be within normal limits for a child, particularly during sleep, and is not an indicator of hemorrhage.
B. Flushing of the face is not typically an indication of hemorrhage, though it could be related to other post-operative factors.
C. Blood pressure of 95/56 mm Hg is within normal range and does not suggest hemorrhage.
D. Continuous swallowing following a tonsillectomy and adenoidectomy can indicate bleeding at the surgical site. This is a priority finding and requires immediate attention.
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