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Zorluk: KolayCollaboration with Interdisciplinary Team

A nurse is providing care for a client recovering from a recent ischemic stroke. During a meal, the nurse observes that the client coughs frequently when drinking thin liquids and struggles to grasp standard silverware. Additionally, the client's family expresses significant anxiety about how they will afford the prescribed discharge medications. Which of the following actions should the nurse take? Select all that apply.

  1. Request a referral to a speech-language pathologist to evaluate the client's swallowing functionCevap
  2. Collaborate with an occupational therapist to provide the client with adaptive eating utensilsCevap
  3. Consult a medical social worker to help the family explore financial assistance programsCevap
  4. D
    Delegate the initial assessment of the client's feeding tolerance to the unlicensed assistive personnel
  5. E
    Reassure the anxious family by stating, 'Do not worry, the hospital will make sure your medications are covered'
  6. F
    Prioritize teaching the family about long-term mobility goals before addressing the client's airway safety during meals

Cevap

The nurse should request a speech-language pathologist for swallowing evaluation, collaborate with an occupational therapist for adaptive utensils, and consult a medical social worker for financial assistance.
Appropriate care coordination requires matching the client's deficits to the correct allied health professionals. A speech-language pathologist specializes in dysphagia and aspiration risk. An occupational therapist assists with fine motor skills and activities of daily living, such as providing adaptive utensils. A medical social worker is equipped to navigate community resources and financial assistance programs.

Adım Adım Çözüm

1
Identify the client's specific clinical and psychosocial needs from the clinical scenario.
The client has a high risk for aspiration, fine motor deficits affecting eating, and the family has financial anxiety regarding discharge.
Accurate identification of needs is required to select the appropriate interdisciplinary team members and nursing actions.
2
Match each identified need with the appropriate interdisciplinary team member's scope of practice.
Swallowing issues require a speech-language pathologist. Grasping utensils requires an occupational therapist. Financial concerns require a medical social worker.
Collaborating with the correct specialists ensures safe and effective holistic care.
3
Evaluate the remaining nursing actions for safety, delegation rules, and therapeutic communication.
Delegating initial assessments to unlicensed assistive personnel, giving false reassurance, and ignoring airway priorities are identified as incorrect and unsafe actions.
The registered nurse must maintain responsibility for initial assessments, utilize therapeutic communication, and prioritize the ABCs (Airway, Breathing, Circulation).

Anahtar Kavram

Interdisciplinary team collaboration ensures that specific client needs are addressed by the appropriate specialists, while the registered nurse maintains responsibility for initial assessments, prioritization of airway safety, and therapeutic communication.
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Collaboration with Interdisciplinary Team

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