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 B
Explanation
The correct answer is choice B, "Avoid direct sunlight between 10 am and 4 pm." Skin cancer is a prevalent form of cancer, and the primary prevention strategies include avoiding exposure to ultraviolet (UV) radiation. The nurse's statement emphasizes the importance of avoiding the sun's peak intensity, which is between 10 am and 4 pm, to reduce exposure to UV radiation. This primary prevention strategy is effective in reducing the risk of skin cancer, especially for individuals with fair skin, a history of sunburn, or a family history of skin cancer. It is also important to encourage individuals to wear protective clothing, apply sunscreen with a minimum sun protection factor (SPF) of 30, and avoid indoor tanning to further reduce exposure to UV radiation.
Correct Answer is C
Explanation
The correct answer is choicec. Move the client to another location.
Choice A rationale:
Activating the alarm is important, but the immediate priority is to ensure the safety of the client by moving them away from the fire.
Choice B rationale:
Shutting the doors and windows can help contain the fire, but it should be done after ensuring the client is safe.
Choice C rationale:
Moving the client to another location is the priority action to protect them from harm.Ensuring the client’s safety is the first step in any emergency situation.
Choice D rationale:
Attempting to extinguish the fire is important, but it should be done after the client is safely moved to another location.
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