A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Aspiration (Option 1): The client's report of feeling food stuck in their mouth, along with the noted hoarseness, indicates difficulty swallowing (dysphagia), which puts them at risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications, including pneumonia.
Dysphagia (Option 2): The presence of dysphagia, or difficulty swallowing, directly supports the risk for aspiration. If the client is unable to swallow safely, there is an increased likelihood of aspiration occurring during eating or drinking.
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Correct Answer is D
Explanation
A. Postponing the procedure could put the client’s health at risk.
B. If the client cannot provide informed consent due to a developmental disability, they are not considered able to consent independently.
C. The provider does not sign the consent form on behalf of the client in this situation; rather, implied consent is used in emergencies.
D. In an emergency situation where delaying treatment could harm the client, implied consent allows for immediate life-saving procedures without waiting for guardian consent.
Correct Answer is A
Explanation
A. Drinking a glass of milk before bedtime can promote sleep due to the presence of tryptophan, an amino acid that helps induce sleepiness. This is a helpful sleep aid strategy.
B. Watching television in bed can stimulate the brain and disrupt sleep, making it more difficult to fall asleep.
C. Engaging in strenuous exercise, such as a long walk, immediately before bed can make it harder to fall asleep by increasing adrenaline levels.
D. Taking a long nap during the day can disrupt nighttime sleep, especially in older adults.
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