A nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following actions should the nurse take when assisting the client to eat?
Offer meals to the client following physical activity.
Provide peanut butter on crackers as a snack choice.
Provide liquids in a cup with a straw.
Instruct the client to tilt his head forward when swallowing.
The Correct Answer is D
A. Offer meals to the client following physical activity: This is incorrect as eating after physical activity might be challenging for a client with dysphagia, and it is better to provide meals when the client is at rest.
B. Provide peanut butter on crackers as a snack choice: This is incorrect because peanut butter and crackers might be difficult to swallow and could pose a choking risk for someone with dysphagia.
C. Provide liquids in a cup with a straw: This is incorrect as straws can cause liquids to be aspirated more easily, which is a risk for clients with dysphagia.
D. Instruct the client to tilt his head forward when swallowing: This is correct because tilting the head forward can help prevent aspiration and facilitate safer swallowing in clients with dysphagia.
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Related Questions
Correct Answer is B
Explanation
A. Suggest fresh fruits and vegetables: This is incorrect because clients with HIV, especially those with immunosuppression, might be at increased risk for foodborne illnesses from fresh produce. Proper food handling and possibly cooked vegetables might be recommended instead.
B. Offer small, frequent meals: This is correct because small, frequent meals can help manage symptoms like nausea or loss of appetite, which are common in clients with HIV.
C. Provide a diet of pureed foods: This is unnecessary unless the client has specific swallowing difficulties. Generally, pureed foods are not required unless indicated by the client's condition.
D. Encourage fluids with meals: This is incorrect as consuming large amounts of fluids with meals may lead to early satiety, which is not ideal for clients needing to maintain or gain weight.
Correct Answer is C
Explanation
A. Warm the insulin vial to dissolve any crystals that develop: Insulin should not be warmed as this can alter its efficacy. If crystals are present, the vial should be gently rolled, not heated.
B. Keep unopened insulin vials in the freezer: Insulin should not be kept in the freezer. Unopened vials should be stored in the refrigerator.
C. Store opened insulin vials at room temperature for up to 4 weeks: Opened insulin vials can be stored at room temperature for up to 4 weeks, which helps maintain its stability and usability.
D. Plan to eat a snack 6 hr after insulin administration: The timing of snacks should be aligned with insulin administration based on the type and dosage, not a fixed interval of 6 hours.
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