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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Discarding clean gloves after removing the old dressing demonstrates correct infection control practices by minimizing the risk of cross-contamination before handling sterile supplies.

B. Placing the soiled dressing on a nearby table is incorrect as it increases the risk of contaminating the environment and spreading infection; the soiled dressing should be immediately disposed of in a proper waste container.

C. Gauze should be used to clean from the inside of the wound outwards to prevent introducing contaminants into the wound from surrounding skin, which makes cleaning from the outside to the center incorrect.

D. Sterile supplies should only be opened after removing the old dressing to maintain the sterility of the materials and avoid contamination during the dressing change procedure.

A. The client requires assistance getting dressed. B. The client has extreme difficulty swallowing. C. The client is experiencing dysarthria. D. The client has four new medications.

Correct Answer is A

Explanation

A. Requiring assistance with dressing indicates a need for support with activities of daily living (ADLs), which is within the scope of occupational therapy.

B. Extreme difficulty swallowing is more appropriately addressed by a speech-language pathologist rather than an occupational therapist, as it relates to swallowing function.

C. Dysarthria, a speech disorder, also falls under the expertise of a speech-language pathologist who specializes in communication disorders, not occupational therapy.

D. Having four new medications does not directly indicate a need for occupational therapy; it may require monitoring by nursing or pharmacy for medication management.

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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?

Nursing Test Bank

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