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

Breathing in and out normally does not protect the airway during nasogastric tube removal. The risk of aspiration is present as the tube is withdrawn, and normal breathing does not actively close off the trachea.

Choice B rationale

Taking a deep breath and coughing can help to clear the airway after the tube is removed but does not directly aid in preventing aspiration during the removal process itself. Coughing expels material from the lungs and throat.

Choice C rationale

Holding her breath during nasogastric tube removal helps to close the epiglottis, which covers the trachea. This action minimizes the risk of aspiration of any residual secretions or reflux that might occur as the tube is being withdrawn.

Choice D rationale

Bearing down, or performing the Valsalva maneuver, increases intra-abdominal pressure and is typically used to stimulate a bowel movement. It is not relevant to protecting the airway during nasogastric tube removal and could potentially increase the risk of reflux.

A. Explain to the patient where items are located on the plate according to the hours on a clock. B. Encourage eating one food at a time according to the preferences of the patient. C. Order finger foods that are permitted on the patient's diet. D. Feed the patient the prescribed meal.

Correct Answer is A

Explanation

Choice A rationale

Explaining the location of food items on the plate using the clock face analogy (e.g., "your meat is at 12 o'clock, your vegetables are at 3 o'clock") provides a consistent and easily understandable spatial reference for a visually impaired patient. This method allows the patient to independently locate and access different food items, promoting autonomy during meals.

Choice B rationale

Encouraging eating one food at a time based on preference does not directly address the challenge of navigating the plate when blind. While respecting preferences is important, it doesn't provide a systematic way for the patient to know where each food item is located.

Choice C rationale

Ordering finger foods might seem helpful, but it limits the variety and nutritional balance of the patient's diet. Not all foods can be easily eaten with fingers, and this approach does not promote independence in eating a regular meal.

Choice D rationale

Feeding the patient completely removes their independence and can be disempowering. The goal is to assist the patient in maintaining as much autonomy as possible, and explaining food placement allows them to eat independently.

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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 client with a nasogastric tube has an order for the tube to be removed.As the nurse removes the tube, the client should be asked to:

Correct Answer is C

Explanation

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Correct Answer is A

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?