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A charge nurse is assessing a client in a long-term care facility. Exhibit 1 Exhibit 2 Exhibit 3 Which of the following findings indicate that a referral for a speech pathologist is needed? Select all that apply. Nurses’ Notes 0930: Assistive personnel noted that client was pocketing food in their mouth at breakfast. Provider request that charge nurse monitor client during next feeding. Speech coordination findings Vocal characteristics during mealtime Observation of food pocketing Gag reflex findings Pulse oximetry level Cough findings 1230: Client up to chair being fed by AP and monitored by charge nurse. Gag reflex is strong. Client’s speech is uncoordinated. Hoarseness of client’s voice noted after swallowing food. Client observed to be 129°5
SCIENCE
HEALTH SCIENCE
NURSING

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