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 C
Explanation
A. The pulmonary function test does not typically involve running on a treadmill; that statement indicates a misunderstanding of the test.
B. Contrast dye is not used in pulmonary function tests; this reflects a lack of understanding of the procedure.
C. Wearing a nose clip is a common practice during pulmonary function tests to ensure that the client breathes only through the mouth, indicating the client understands the procedure.
D. Inserting a tube into the airway is not a standard part of pulmonary function tests, and this statement shows a misunderstanding of the procedure.
Correct Answer is B
Explanation
A. Involving the ethics committee may be unnecessary if the client's advance directives are clear.
B. This response directly addresses the client's wishes as stated in their advance directives, reinforcing the importance of honoring their preferences regarding life-sustaining treatment.
C. Suggesting that tube feeding will make the client feel better contradicts the advance directives and does not respect the client's wishes.
D. Discussing the matter with the rest of the family may not be appropriate if the partner is the designated surrogate and the client's wishes are clearly outlined in the advance directives.
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