PN Adult Medical Surgical Practice Exam

Who should the nurse recommend for referral prior to initiating oral intake for a client who had a stroke?

1. Occupational therapist

2. Speech-language pathologist

3. Physical therapist

4. Case manager

The correct answer is: Speech-language pathologist

The nurse should recommend a referral to a speech-language pathologist prior to initiating oral intake for a client who has had a stroke because these specialists are specifically trained to assess and treat swallowing disorders, known as dysphagia, which are common after a stroke. The risk of aspiration, where food or liquid enters the airway instead of the esophagus, is significant in such cases, potentially leading to serious complications like pneumonia. The speech-language pathologist can evaluate the client's swallowing abilities and determine the safest dietary recommendations and modifications needed to ensure that oral intake can occur without risk. They are equipped to conduct swallowing assessments and provide strategies to improve swallowing safety. The other professionals listed play important roles in the rehabilitation process but are not specifically focused on the immediate need to assess swallowing. The occupational therapist might help with activities of daily living, the physical therapist would address mobility and strength, and the case manager would coordinate the overall care plan rather than directly assess swallowing capabilities.