A nurse is planning care for a client who has dysphagia. The nurse should plan to assist with the request of a referral to which of the following members of the health care team?

Respiratory therapist

Speech therapist

Physical therapist

Dentist

Answer and Explanation

The Correct Answer is B

A. Respiratory therapist: While helpful in respiratory management, they do not assess swallowing ability.

B. Speech therapist: A speech-language pathologist evaluates swallowing function and recommends dietary textures and techniques to reduce aspiration risk.

C. Physical therapist: Focuses on mobility and strength, not swallowing.

D. Dentist: May manage oral health, but does not evaluate or treat dysphagia.

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Correct Answer is C

Explanation

A. Nasointestinal Tube: This is used for enteral nutrition, not parenteral.

B. Gastrostomy Tube: This is also for enteral feeding directly into the stomach.

C. Central Venous Catheter: Parenteral nutrition is a sterile, hypertonic solution that must be administered via a central line due to its osmolarity and potential vein irritation.

D. Orally: Parenteral nutrition is given when the GI tract is not functional, so oral administration is not an option.

A. Remove the PEG tube from the stoma and clean it with soap and water. B. Administer the bolus feeding through the PEG tube without flushing it first. C. Use a syringe to flush the tube with 30 m of water before and after the bolus feeding D. Skip the flushing step of the PEG tube is already patent

Correct Answer is C

Explanation

A. Remove the PEG tube from the stoma and clean it with soap and water: The PEG tube is a surgically placed device and should never be removed by the nurse unless ordered or in an emergency (e.g., dislodgement).

B. Administer the bolus feeding through the PEG tube without flushing it first: Flushing before and after prevents clogging and ensures tube patency.

C. Use a syringe to flush the tube with 30 mL of water before and after the bolus feeding: This is the standard protocol to maintain tube patency and prevent clogging.

D. Skip the flushing step if the PEG tube is already patent: Even if the tube appears patent, flushing before and after feeds is still necessary to prevent build-up and blockage.

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A nurse is planning care for a client who has dysphagia. The nurse should plan to assist with the request of a referral to which of the following members of the health care team?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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