A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?
Assist patient to a semi-Fowler position.
Encourage the resident to eat meals in the main dining area.
Insert a nasogastric tube for feedings.
Instruct the patient to tilt his or her head slightly forward.
The Correct Answer is D
A. Assist patient to a semi-Fowler position: While elevating the head may aid in swallowing, tilting the head forward is a more effective method to direct food into the esophagus and reduce aspiration risk.
B. Encourage the resident to eat meals in the main dining area: While social interaction is beneficial, it does not directly improve dysphagia.
C. Insert a nasogastric tube for feedings: This is reserved for severe cases where oral intake is not possible.
D. Instruct the patient to tilt his or her head slightly forward: This technique (chin-tuck position) improves swallowing by aligning the airway and esophagus, reducing the risk of aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will give my baby the medication just before a feeding.": Nystatin should be given after feedings to ensure it stays in the mouth long enough to work effectively.
B. "I will swab the medication inside my baby's mouth and on her tongue.": Nystatin should be applied directly to the affected areas in the mouth (e.g., tongue, cheeks) using a swab or applicator.
C. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.": Cleaning the white patches could remove the medication before it has a chance to work, so this is not recommended.
D. "I will mix my baby's medication in a clear liquid and put it in her bottle.": Mixing the medication in a bottle can make it less effective, as it may not stay in the mouth long enough to treat the infection.
Correct Answer is D
Explanation
A. Lubricates the intestinal wall and softens stool: This describes the action of lubricant laxatives, such as mineral oil, not stimulant laxatives.
B. Draws water into the bowel to facilitate the passage of feces: This describes osmotic laxatives, such as polyethylene glycol or lactulose.
C. Increases bulk and stimulates peristalsis: This describes bulk-forming laxatives, like psyllium, which absorb water and increase stool size.
D. Irritates the intestine directly, promoting peristalsis and evacuation: This is the correct mechanism for stimulant laxatives, such as bisacodyl and senna. They stimulate the nerve endings in the intestinal lining, leading to increased bowel movement activity.
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