Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?
Occupational therapist
Speech-language therapist
Dietitian
Respiratory therapist
The Correct Answer is B
A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
The correct answers are A, D, and E. Primary prevention activities aim to prevent the onset of disease or injury. Teaching a class about the risks of cigarette smoking and organizing a program to promote skateboard safety are examples of primary prevention activities. Lobbying for funding for health promotion efforts is also a primary prevention activity because it aims to prevent the occurrence of illness or injury in the community. Creating a plan of care for children who have a diagnosis of diabetes mellitus and recommending a seating arrangement for a child in a body cast are examples of secondary prevention activities, which aim to detect and treat health problems early to prevent complications.
Correct Answer is D
Explanation
The correct answer is choice D. Agricultural workers who are exposed to pesticides are at risk for dizziness, headache, nausea, and vomiting. Dizziness is a common acute effect of pesticide exposure. Hypoglycemia is not a common effect of pesticide exposure, although it can occur in some cases of organophosphate poisoning. Oliguria is a decrease in urine output, and diplopia is a condition where an individual experiences double vision, neither of which is commonly associated with acute pesticide exposure.
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