A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
Nasal cannula and oxygen
Bite block
Yankauer suction device
Large-handled utensils
The Correct Answer is C
A. A nasal cannula and oxygen may be necessary for clients with respiratory issues but are not specifically relevant for managing dysphagia.
B. A bite block is not typically used for clients with dysphagia and is more relevant for seizure precautions.
C. A Yankauer suction device is essential for clients with dysphagia to clear secretions and prevent aspiration, making it the most important equipment to have available.
D. Large-handled utensils can help clients with limited dexterity but do not specifically address the concerns related to dysphagia management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Documenting nursing interventions as they are completed ensures accuracy and helps avoid missing critical information. This practice also enhances time management by reducing the likelihood of forgetting details.
B. Skipping breaks can lead to fatigue and reduce productivity over time. It's important to take breaks to maintain focus and energy levels.
C. Completing similar tasks for all clients may seem efficient but can lead to delays in addressing higher-priority needs. Tasks should be prioritized based on client needs.
D. Completing the lowest priority task at the beginning of the shift is inefficient, as higher-priority tasks should be addressed first to ensure timely care and prevent complications.
Correct Answer is B
Explanation
A. A unit nurse should not provide information to the media during a disaster; this is typically managed by designated personnel to ensure accuracy and compliance with facility policies.
B. A nurse can recommend clients who are stable for discharge during a disaster, which helps free up resources and space for those who need immediate care.
C. A unit nurse does not have the authority to prescribe emergency medications; this is the responsibility of a licensed provider.
D. While communication with the performance improvement committee is important, it is not the immediate focus during a disaster; the priority is direct patient care and ensuring client safety.
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