A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Initiate a calorie count of daily food intake.

Provide food in a thin liquid consistency.

Instruct the client to keep their chin up when swallowing.

Place the client in a semi-Fowler's position when eating.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Initiating a calorie count of daily food intake is not directly related to addressing dysphagia. Calorie counts might be important in certain situations, such as managing weight, but it does not directly address the client's swallowing difficulties.
Choice B rationale:
Providing food in a thin liquid consistency is contraindicated for a client with dysphagia. Thin liquids can increase the risk of aspiration in individuals with swallowing difficulties. The nurse should choose thicker liquids and modify the diet as recommended by a speech-language pathologist or healthcare provider.
Choice C rationale:
Instructing the client to keep their chin up when swallowing is not an appropriate action for addressing dysphagia. Instead, clients with dysphagia are often instructed to tuck their chin down to their chest when swallowing. This helps to close off the airway and prevents food or liquids from entering the airway.
Choice D rationale:
Placing the client in a semi-Fowler's position when eating is the correct action. This position helps prevent aspiration by promoting proper alignment of the airway and esophagus. The semi-Fowler's position involves elevating the head of the bed to an angle of 30-45 degrees. This position facilitates swallowing and reduces the risk of choking or aspiration.

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Correct Answer is B

Explanation

Choice A rationale:

Stopping caffeinated beverages is a positive step in managing gastroesophageal reflux disease (GERD) as caffeine can exacerbate symptoms by relaxing the lower esophageal sphincter (LES). However, this choice is not the best-contributing factor to GERD among the options provided.

Choice B rationale:

Correct Choice. Drinking warm milk before bed is a contributing factor to GERD. Milk is slightly acidic and can increase gastric acid production, potentially leading to reflux symptoms. It is important for individuals with GERD to avoid foods or drinks that can relax the LES or increase gastric acid production.

Choice C rationale:

Stopping alcohol consumption is generally beneficial for managing GERD, as alcohol can relax the LES and increase stomach acid production. However, among the choices, this is not the most relevant contributing factor to GERD.

Choice D rationale:

Following a low-fat, high-protein diet is generally recommended for managing weight and promoting overall health. While it is beneficial for weight management, it is not a key contributing factor to GERD symptoms, especially when compared to other choices like drinking warm milk before bed.

A. "Eat protein at each meal." B. "Drink beverages with meals." C. "Consume three large meals daily." D. "Sit up in bed after meals."

Correct Answer is A

Explanation

The correct answer is choice A. “Eat protein at each meal.”

Choice A rationale:

Eating protein at each meal can help slow down the digestion process and reduce the symptoms of dumping syndrome.Protein takes longer to digest compared to carbohydrates, which can help prevent the rapid emptying of the stomach contents into the small intestine.

Choice B rationale:

Drinking beverages with meals is not recommended for clients with dumping syndrome. Fluids can increase the speed at which food moves through the stomach, exacerbating symptoms.It is generally advised to drink fluids between meals rather than with meals.

Choice C rationale:

Consuming three large meals daily is not advisable for clients with dumping syndrome. Large meals can cause a rapid emptying of stomach contents into the small intestine, leading to symptoms.Instead, eating smaller, more frequent meals is recommended to help manage the condition.

Choice D rationale:

Sitting up in bed after meals is not recommended for managing dumping syndrome.In fact, lying down for about 30 minutes after eating can help slow the movement of food through the digestive tract and reduce symptoms.

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A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of the following client statements should the nurse identify as a contributing factor to GERD?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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