A nurse is providing care for an older adult client who is recovering from bacterial pneumonia. During breakfast, the nurse observes that the client pockets food in the cheeks, frequently coughs after drinking water, and experiences a transient drop in oxygen saturation from 96% to 90%. Which interdisciplinary collaboration or action should the nurse prioritize?
- Request a referral for a Speech-Language Pathologist to evaluate the client's swallowing function.Answer
- BDelegate the client's mealtime feeding to the Unlicensed Assistive Personnel to ensure close supervision.
- CConsult the Registered Dietitian to recommend high-calorie nutritional supplements to prevent weight loss.
- DReassure the family that these swallowing changes are a normal physiological part of the aging process.
Answer
The most appropriate action is to request a referral for a Speech-Language Pathologist to evaluate the client's swallowing function.
The client is exhibiting clear signs of dysphagia and potential aspiration, which poses an immediate threat to their airway and breathing. A Speech-Language Pathologist is the appropriate interdisciplinary team member to conduct a comprehensive swallowing assessment and recommend safe dietary consistencies (such as thickened liquids) to prevent aspiration pneumonia. Airway protection is the highest priority.
Step-by-Step Solution
Key Concept
Interdisciplinary Collaboration: Prioritizing Airway Safety and Speech-Language Pathology Referrals