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.
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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is B
Explanation
A. 1 hour after meals: Sucralfate works by forming a protective barrier over ulcers. It is best absorbed when the stomach is empty, so taking it after meals reduces its effectiveness.
B. 1 hour before meals: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food.
C. With meals: Taking sucralfate with meals can interfere with its ability to coat the stomach effectively.
D. With a bedtime snack: Sucralfate should be taken on an empty stomach for optimal effectiveness, not with food.
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