A nurse notes that a client is eating about half of the food on his plate and coughs frequently during meals. The nurse plans to perform dysphagia screening to determine the client's need for a referral to which of the following providers?
Physical therapist
Speech therapist
Respiratory therapist
Occupational therapist
The Correct Answer is B
A. Physical therapists focus on improving a client’s mobility, muscle strength, and functional movement. While they play an important role in rehabilitation, they do not assess or manage swallowing difficulties or the risk of aspiration.
B. Speech therapists (speech-language pathologists) are trained to evaluate and treat dysphagia, which involves difficulty swallowing. They can perform specialized assessments, recommend dietary modifications, and provide exercises to improve swallowing function, helping prevent complications such as aspiration pneumonia, malnutrition, and dehydration.
C. Respiratory therapists focus on managing breathing difficulties, airway management, and oxygen therapy. While aspiration can lead to respiratory complications, respiratory therapists do not perform assessments or interventions for swallowing disorders.
D. Occupational therapists assist clients with performing activities of daily living, including adaptive feeding techniques or modified utensils. However, they do not provide formal evaluation or treatment for swallowing disorders and would typically work in collaboration with a speech therapist if interventions are needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Running on a treadmill is part of a stress test, not a pulmonary function test (PFT), so this statement reflects a misunderstanding of the procedure.
B. Contrast dye is used in imaging studies such as CT scans or angiography, not in standard pulmonary function testing.
C. Inserting a tube into the airway refers to procedures like bronchoscopy or intubation, which are invasive and not part of routine PFTs.
D. Wearing a nose clip is a common component of pulmonary function testing to ensure that all airflow is measured through the mouth. This statement demonstrates that the client understands the noninvasive steps of the test.
Correct Answer is C
Explanation
A. A living will may include instructions about resuscitation, but it is not limited to DNR orders; its purpose is broader, guiding medical care based on the client’s wishes in various situations.
B. Being informed of the risks and benefits of a procedure relates to informed consent, not a living will.
C. A living will provides guidance for healthcare providers and family members regarding the client’s preferences for care if the client becomes unable to communicate. It ensures decisions align with the client’s values and wishes.
D. Naming a person to make medical decisions is the role of a durable power of attorney for healthcare (healthcare proxy), not the living will itself.
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