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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[33.882846916299556,42.693419603524234],\"yRanges\":[29.535864978902953,37.9746835443038]}"
Explanation
A. Throat/Pharynx area: The gag reflex must be checked before giving fluids. Anesthetics used during bronchoscopy suppress the gag and cough reflex, which places the client at high risk of aspiration. Assessing the throat for return of reflexes ensures safe swallowing.
B. Head/Brain area: Assessing the brain is not necessary prior to resuming oral intake after bronchoscopy. Neurological function is important overall, but it does not determine whether the swallowing reflex has returned and if the client can safely manage oral fluids.
C. Mouth/Lips: Examining the lips or oral cavity may reveal dryness, bleeding, or trauma, but it does not determine readiness for fluids. The risk of aspiration persists unless gag reflex recovery is confirmed.
D. Chest/Lungs area: Assessing lung sounds is important for evaluating complications such as bronchospasm or pneumothorax, but this does not confirm readiness for oral intake. Aspiration risk remains the main concern until gag reflex recovery is established.
Correct Answer is C
Explanation
A. Peer pressure: Peer pressure is considered an external stressor because it originates from outside influences, such as social interactions and the expectations of others. It impacts behavior but is not generated internally.
B. Death of a family member: The loss of a loved one is an external stressor since it arises from an environmental and situational event outside the individual’s control. The stress reaction follows the external occurrence.
C. Fear of medical test results: Fear is an internal stressor because it originates from the individual’s own thoughts, emotions, and perceptions. It reflects how the person interprets and responds to a situation, even before external outcomes are known.
D. Job transfer to another city: A job transfer is an external stressor because it is an environmental change imposed on the individual. The stress arises from circumstances in the person’s surroundings rather than internal feelings.
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