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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Stating that the patient drank most liquids without difficulty is a general observation but lacks specific details about the quantity consumed and the type of diet. It provides limited nutritional information.

Choice B rationale

Saying the patient ate all her lunch is brief but doesn't specify the type or amount of food consumed. "Lunch" can vary greatly in nutritional content, making this documentation less informative.

Choice C rationale

This documentation provides specific details about the patient's intake, including the percentage of the heart-healthy diet consumed (50%), indicating the amount of solid food, and the exact volume of liquids ingested (360 mL). It also notes the absence of difficulty, offering a more comprehensive nutritional picture.

Choice D rationale

Documenting assistance with feeding a liquid diet and frequent choking is important for safety but doesn't quantify the amount of liquid consumed or the patient's overall nutritional intake from the meal.

A. Medications need to be documented in the record for the physician's review. B. The nurse needs to assess the patient for allergic reactions. C. Certain drugs can affect the metabolism of nutrients. D. Medications can affect one's memory and ability to identify food eaten in the last 24 hours.

Correct Answer is C

Explanation

Choice A rationale

While documenting medications is important for the physician's review, this is not the primary nutritional assessment reason for asking about medications. The focus here is on how medications interact with nutritional status.

Choice B rationale

Assessing for allergic reactions to medications is crucial for patient safety, but it is a separate aspect of medication history and not directly related to the metabolism of nutrients during a nutritional assessment.

Choice C rationale

Certain medications can significantly interfere with the absorption, metabolism, and excretion of various nutrients. For example, some drugs can increase nutrient excretion, decrease appetite, or alter the body's ability to utilize vitamins and minerals, directly impacting nutritional status.

Choice D rationale

While some medications can affect memory and thus the accuracy of a 24-hour food recall, the more direct and critical reason for asking about medications during a nutritional assessment is to identify potential drug-nutrient interactions that affect metabolism.

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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

During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking?

Correct Answer is C

Explanation

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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?