A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the following referrals should the nurse make?

Speech-language pathologist

Respiratory therapist

Occupational therapist

Social services

Answer and Explanation

The Correct Answer is A

A. Speech-language pathologist: Clients with dysphagia benefit most from a referral to a speech-language pathologist, who specializes in assessing swallowing ability and providing strategies or diet modifications to reduce aspiration risk.

B. Respiratory therapist: A respiratory therapist assists with breathing treatments, oxygen management, and airway clearance. While aspiration can affect the lungs, preventing aspiration requires swallowing assessment, not respiratory therapy.

C. Occupational therapist: An occupational therapist helps clients improve skills for daily living, such as self-feeding techniques. While supportive, this does not directly assess or correct the swallowing dysfunction that causes aspiration risk.

D. Social services: Social services provide support for discharge planning, financial assistance, and psychosocial needs. They do not play a role in evaluating or treating swallowing difficulties related to dysphagia.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

A. Establish the client's learning needs: Identifying what the client needs to know about managing type 2 diabetes is essential for creating a focused and effective teaching plan. This ensures the teaching is relevant and addresses gaps in knowledge.

B. Determine the client's literacy level: Assessing literacy helps the nurse tailor educational materials and teaching methods so the client can understand instructions, especially when managing medications, diet, and blood glucose monitoring.

C. Evaluate the client's readiness for learning: Readiness includes emotional, cognitive, and physical factors. A client who is stressed, anxious, or fatigued may not retain information effectively, making this assessment crucial before teaching.

D. Verify the client's computer access: While useful for online education, access to technology is not a prerequisite for general diabetes teaching. Education can be provided through verbal instruction, print materials, or demonstrations.

E. Identify the client's learning style: Understanding whether the client learns best through visual, auditory, or kinesthetic methods allows the nurse to adapt teaching strategies, improving comprehension and retention of diabetes self-management skills.

A. Tilt the client's head away from the side receiving the drops. B. Instill the drops directly onto the cornea of the eye receiving the drops. C. Rest the dominant hand on the client's forehead while instilling the drops. D. Hold the medication dropper 0.5 cm (0.2 in) above the conjunctival sac.

Correct Answer is C

Explanation

A. Tilt the client's head away from the side receiving the drops: The client’s head should be tilted slightly back and toward the side receiving the drops, not away. Tilting away may cause the medication to run out instead of entering the conjunctival sac.

B. Instill the drops directly onto the cornea of the eye receiving the drops: The cornea is highly sensitive, and placing drops directly on it can cause pain, reflex blinking, or injury. Drops should be placed into the conjunctival sac to ensure comfort and proper absorption.

C. Rest the dominant hand on the client's forehead while instilling the drops: Resting the hand on the forehead stabilizes the dropper, preventing accidental injury if the client moves suddenly. This provides safety and accuracy when administering the medication.

D. Hold the medication dropper 0.5 cm (0.2 in) above the conjunctival sac: The dropper should be held about 1–2 cm above the sac to avoid touching the eye. Holding it too close increases the risk of contamination or accidental contact with the eye surface.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the following referrals should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse take prior to performing the teaching? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is preparing to administer ophthalmic drops to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is creating a plan care for a client who requires suture removal. Which of the following actions should the nurse plan to take?

A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the "background" portion of the Situation, Background, Assessment, Recommendation (SBAR) communication tool?

A home health nurse is making an initial assessment visit to an adult client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's ability to measure blood glucose accurately?

A nurse is assessing a client who has hypokalemia. Which of the following findings should the nurse expect?

A nurse is assessing a client who is postoperative following a cholecystectomy. Which of the following techniques should the nurse use to assess for peristalsis of the abdomen?

A nurse receives a telephone call from a client's family member, who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?

A nurse is performing postmortem care for a client who has just died. Which of the following actions should the nurse take?

A nurse is completing a preadmission interview for a client who is to undergo surgery the following day. The client reports a latex allergy. Which of the following interventions should the nurse include when planning care for the client's surgery? (Select all that apply.)