A nurse is caring for a client who has dysphagia following a stroke.When assisting the client at mealtime, which of the following actions should the nurse plan to take?
Encourage the client to use a straw.
Provide oral care before meals.
Schedule physical therapy directly before meals.
Instruct the client to tilt their head back to facilitate swallowing.
The Correct Answer is B
Choice A rationale
Using a straw can increase the risk of aspiration in clients with dysphagia as it forces liquid directly to the back of the throat without adequate control.
Choice B rationale
Providing oral care before meals can help stimulate the appetite and ensure that the mouth is clean, reducing the risk of infection and improving the overall eating experience.
Choice C rationale
Scheduling physical therapy directly before meals can cause fatigue, making it more difficult for the client to eat safely and effectively.
Choice D rationale
Tilting the head back can increase the risk of aspiration. The safer method for clients with dysphagia is usually to keep the head in a neutral or slightly forward position when swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Consuming small, frequent meals helps in managing energy levels and reducing the work of breathing for clients with COPD.
Choice B rationale
Increasing oxygen to 5 liters per minute without proper medical guidance can lead to oxygen toxicity and other complications in COPD patients.
Choice C rationale
Discontinuing prednisone abruptly can lead to adrenal insufficiency and should be tapered off under medical supervision.
Choice D rationale
Decreasing caloric intake can lead to malnutrition, which is detrimental for COPD clients who need adequate nutrition to maintain energy and muscle strength. .
Correct Answer is C,B,D,A
Explanation
The correct order is:
1. Ensure a method to communicate during the procedure.
2. Wear clean gloves to remove the tracheostomy dressing.
3. Clean the inner cannula using a small brush.
4. Apply clean tracheostomy ties.
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