A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?

Ask the client to tilt her head back when swallowing.

Offer the client larger portions of food during the meal.

Use spoons, instead of cups, when serving liquids to the client.

Encourage the client to complete the meal within 15 min.

Answer and Explanation

The Correct Answer is C

A. Ask the client to tilt her head back when swallowing. Tilting the head back can increase the risk of aspiration. Clients with dysphagia should be instructed to tuck their chin to their chest when swallowing.
B. Offer the client larger portions of food during the meal. Smaller portions are safer for clients with dysphagia to reduce the risk of choking and aspiration.
C. Use spoons, instead of cups, when serving liquids to the client. This is correct. Using spoons can help control the amount of liquid the client receives, reducing the risk of aspiration.
D. Encourage the client to complete the meal within 15 min. Rushing a meal increases the risk of choking and aspiration. Clients with dysphagia should eat slowly and take small bites.

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Correct Answer is C

Explanation

A. Verapamil Verapamil is used as a preventive treatment for cluster headaches, not for aborting an acute attack.
B. Lithium Lithium is used for cluster headache prevention, not for immediate pain relief.
C. Sumatriptan Sumatriptan is effective in aborting acute cluster headache attacks.
D. Prednisone Prednisone can be used as a short-term preventive measure but is not typically used to abort an acute headache.

A. "If I continue to breathe in carbon monoxide, I could become unconscious." B. "If there is carbon monoxide in my house. I'll be able to smell it." C. "I have a gas furnace, so I don't have to worry about carbon monoxide." D. "I will change the battery in my carbon dioxide detector every 2 years."

Correct Answer is A

Explanation

A. "If I continue to breathe in carbon monoxide, I could become unconscious." This is correct. Continued exposure to carbon monoxide can lead to unconsciousness and even death.
B. "If there is carbon monoxide in my house. I'll be able to smell it." This is incorrect. Carbon monoxide is a colorless and odorless gas, making it impossible to detect by smell.
C. "I have a gas furnace, so I don't have to worry about carbon monoxide." This is incorrect. Gas furnaces can produce carbon monoxide, especially if they are not properly ventilated or maintained.
D. "I will change the battery in my carbon dioxide detector every 2 years." This is incorrect. The batteries in carbon monoxide detectors should be changed more frequently, typically every 6-12 months, to ensure they function properly.

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A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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