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?
Speech therapist.
Respiratory therapist.
Dentist.
Physical therapist.
The Correct Answer is A
Choice A rationale
A speech therapist specializes in diagnosing and treating swallowing disorders, such as dysphagia. They assess the client’s ability to swallow safely and provide interventions to improve swallowing techniques, including exercises and modifications to diet. Referral to a speech therapist is essential for managing dysphagia and preventing complications like aspiration pneumonia.
Choice B rationale
A respiratory therapist primarily deals with breathing problems and airway management, not swallowing difficulties. While respiratory therapists play a role in managing clients with respiratory distress, they do not specialize in dysphagia.
Choice C rationale
A dentist focuses on oral health, which is important for overall health, but they are not the appropriate specialist for managing dysphagia. While they may address oral conditions that could impact swallowing, dysphagia management requires the expertise of a speech therapist.
Choice D rationale
A physical therapist focuses on physical movement and rehabilitation. While physical therapy may assist in mobility and motor coordination, dysphagia management falls within the domain of a speech therapist, not a physical therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Memory loss is more commonly associated with neurological conditions, vitamin B12 deficiency, or aging, rather than a lack of dietary fiber. Fiber primarily affects the digestive system and blood sugar control, not cognitive function.
Choice B rationale
Bleeding gums are typically a sign of vitamin C deficiency (scurvy) or poor oral hygiene leading to gingivitis. While overall nutrition is important for oral health, a lack of fiber specifically does not directly cause bleeding gums.
Choice C rationale
Brittle hair can be a symptom of various nutritional deficiencies, including protein, biotin, and iron, but it is not a primary indicator of inadequate fiber intake. Fiber mainly impacts bowel function and glucose metabolism.
Choice D rationale
Constipation, characterized by infrequent or difficult bowel movements, is a well-established consequence of inadequate dietary fiber intake. Fiber adds bulk to the stool, absorbs water, and facilitates peristalsis, the muscular contractions that move stool through the intestines. A lack of fiber can lead to harder, drier stools that are more difficult to pass. .
Correct Answer is A,B,C,D
Explanation
Choice A rationale
Verifying tube placement is the initial critical step to ensure the feeding is delivered into the gastrointestinal tract and not the respiratory system, thereby preventing aspiration. Methods for verification include pH testing of aspirate (target pH ≤ 5.5), and radiographic confirmation is the gold standard, especially after initial placement.
Choice B rationale
Checking the residual feeding contents before administering a new feeding is essential to assess the client's tolerance to the previous feeding and prevent overfeeding, which can lead to complications like abdominal distension, nausea, vomiting, and aspiration. A high residual volume may indicate delayed gastric emptying.
Choice C rationale
Administering the feeding follows confirmation of tube placement and assessment of residual volume. The feeding should be administered at the prescribed rate and volume, ensuring the client receives adequate nutrition and hydration. The client should be positioned with the head of the bed elevated at least 30-45 degrees during and for at least 30-60 minutes after feeding to minimize aspiration risk.
Choice D rationale
Evaluating the client's tolerance to the feeding is an ongoing process that involves monitoring for signs and symptoms such as abdominal distension, pain, nausea, vomiting, diarrhea, or aspiration. This evaluation helps determine if the feeding regimen needs adjustment in terms of rate, volume, or formula.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.