A nurse is providing care to a client who has Parkinson’s disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?
Respiratory therapy
Nutritional therapy
Occupational therapy
Speech therapy .
The Correct Answer is D
Choice A rationale
Respiratory therapy is primarily concerned with the treatment and management of a patient’s breathing. While swallowing difficulties can potentially lead to respiratory issues such as aspiration pneumonia, the primary role of evaluating and treating swallowing difficulties falls outside the scope of respiratory therapy.
Choice B rationale
Nutritional therapy would be involved in managing the dietary needs of a patient with Parkinson’s disease, including modifications to food texture and liquid consistency if swallowing difficulties are present. However, the evaluation and treatment of the swallowing difficulty itself would be managed by a speech therapist.
Choice C rationale
Occupational therapy could assist with adaptations to enhance the patient’s feeding skills and independence during meals. However, the specific evaluation and treatment of swallowing function is typically within the scope of a speech therapist.
Choice D rationale
Speech therapists, or speech-language pathologists, are the professionals specifically trained to evaluate and treat individuals with speech, language, voice, and swallowing disorders. This would include a patient with Parkinson’s disease experiencing difficulty swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Regulation of the amount of carbon dioxide exhaled can affect cerebral blood flow, but it does not directly maintain cerebral perfusion pressure constant.
Choice B rationale
Catecholamines circulating throughout the body can affect blood pressure and heart rate, but they do not directly maintain cerebral perfusion pressure constant.
Choice C rationale
How much blood is pumped from the heart, also known as cardiac output, can affect cerebral perfusion pressure. However, it does not directly maintain cerebral perfusion pressure constant.
Choice D rationale
Regulation of constriction and dilation of blood vessels in the brain, also known as cerebral autoregulation, is a key mechanism that maintains cerebral perfusion pressure constant. When pressure autoregulation is impaired, cerebral blood flow becomes dependent on cerebral perfusion pressure.
Correct Answer is ["B","D"]
Explanation
Choice A rationale
Oxycodone is an opioid medication, not a nonopioid analgesic. It is used for the relief of moderate to severe pain but has a high potential for addiction and dependence.
Choice B rationale
Ibuprofen is a nonopioid analgesic. It belongs to a class of drugs known as nonsteroidal anti- inflammatory drugs (NSAIDs) and is commonly used to relieve pain, reduce inflammation, and lower fever.
Choice C rationale
Fentanyl is a potent opioid pain medication. It is not a nonopioid analgesic. It is used for managing severe pain, often in people who have built up a resistance to other opioids.
Choice D rationale
Acetaminophen is a nonopioid analgesic. It is used to relieve mild to moderate pain from headaches, muscle aches, menstrual periods, colds and sore throats, toothaches, backaches, and reactions to vaccinations, and to reduce fever.
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