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 B

Explanation

A. Magnesium hydroxide: Although it is a laxative, it doesn't directly interfere with the chemical detection of blood in the stool.

B. Orange juice: Orange juice is high in vitamin C (ascorbic acid), and vitamin C in sufficient amounts can cause false-negative results on guaiac-based fecal occult blood tests (FOBT). Patients are usually told to avoid vitamin C (citrus fruits/juices and supplements) for about 3 days before and during the collection period.

C. Whole grain cereal:Whole grains are not listed among the foods that typically must be avoided.

D. Acetaminophen: Unlike NSAIDs, acetaminophen does not increase the risk of GI bleeding, so it's generally safe.

A. Refusal to look at stoma or participate in care. B. Increase in length of care in the health care facility C. Increase in need for pain medication D. interest in learning how to empty the bag

Correct Answer is D

Explanation

A. Refusal to look at stoma or participate in care: This indicates denial or emotional distress, not readiness to learn.

B. Increase in length of care in the health care facility: This is a negative outcome, not a sign of readiness to learn.

C. Increase in need for pain medication: Increased pain may interfere with learning and does not indicate readiness.

D. Interest in learning how to empty the bag: Active interest in self-care tasks is a strong sign of readiness to learn and take part in self-management.

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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

A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?

Correct Answer is B

Explanation

A nurse has completed providing care for a client who has a new colostomy determines the patient education is ready to learn how to care for it himself. Which of the following outcomes should the nurse expect?

Correct Answer is D

Explanation

A nurse is assisting with teaching a class about the process of digestion. The nurse should include that food is transported through the gastrointestinal (GI) tract starting from which of the following locations?

A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene?

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?

When determining the length of the nasogastric tube for insertion, the nurse should measure the distance from the tip of the clients nose to the earlobe and from the earlobe to the

A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?

A nurse is reinforcing teaching with a client who has kidney stones Which of the following instructions should the nurse include?

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