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?
Bite block
Yankauer suction device
Large-handled utensils
Nasal cannula and oxygen
The Correct Answer is B
- A. Bite block: This is not the correct choice. A bite block is used to prevent a patient from biting down on tubes or other equipment, not typically required for a patient with dysphagia.
- B. Yankauer suction device: This is the correct choice. A Yankauer suction device is used to clear the oral cavity of secretions or food particles, which is essential for a patient with dysphagia to prevent aspiration.
- C. Large-handled utensils: While these may be helpful for a patient with dysphagia to feed themselves more easily, they are not as critical as ensuring the airway is clear of obstructions.
- D. Nasal cannula and oxygen: This equipment would be necessary if the patient had respiratory issues, but it is not specifically related to the management of dysphagia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who is receiving heparin and has an aPTT of 34 seconds: While monitoring heparin therapy is important, this client's condition does not necessarily require an interdisciplinary conference at this time.
B. A client who has orthostatic hypotension and is receiving IV fluids: Management of orthostatic hypotension and IV fluids may require coordination among nursing and medical staff, but it may not necessitate an interdisciplinary conference unless there are significant
complications or complex care needs.
C. A client who has Type 1 diabetes and uses an insulin pump: While managing diabetes may involve coordination between nursing and other healthcare professionals, clients using insulin
pumps typically have established care plans and may not require an interdisciplinary conference unless there are specific issues or changes in management.
D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL: This is the correct answer. Clients at risk for pressure ulcers often require input from multiple disciplines, including nursing, wound care specialists, nutritionists, and possibly physical therapists, to develop and implement comprehensive care plans aimed at preventing pressure ulcers and
promoting wound healing. An interdisciplinary conference can facilitate coordination of care and ensure all aspects of the client's needs are addressed.
Correct Answer is ["B","C","E"]
Explanation
A. Implementing a client's plan of care based upon nursing goals: While implementing a client's plan of care is important, true client advocacy involves ensuring that the plan aligns with the client's wishes and needs.
B. Obtaining an interpreter for a client who speaks a different language than the nurse: This is an example of client advocacy as it ensures effective communication and understanding between the client and healthcare team.
C. Documenting a client's refusal to take a prescribed medication: This is an example of client advocacy as it respects the client's right to refuse treatment and ensures accurate documentation of their decision.
D. Initiating IV access on a client who has dementia while he is sleeping: This action does not align with client advocacy as it disregards the client's autonomy and right to consent to treatment while they are asleep.
E. Providing written information to a client regarding palliative care: This is an example of client advocacy as it empowers the client with information about their care options, allowing them to make informed decisions.
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