A nurse is contributing to the plan of care for a client who has dysphagia and is pocketing food in their cheeks during meals. Which of the following interventions should the nurse recommend?
Elevate the head of the client's bed to 45" during meals.
Request a speech therapist consult from the provider.
Instruct the client to tilt their head back when swallowing.
Administer liquids to the client using a syringe.
The Correct Answer is B
A. Elevate the head of the client's bed to 45° during meals: The head should be elevated to 90° to reduce the risk of aspiration during meals.
B. Request a speech therapist consult from the provider: Speech therapists can assess swallowing difficulties and recommend appropriate strategies.
C. Instruct the client to tilt their head back when swallowing: This position increases the risk of aspiration by opening the airway during swallowing.
D. Administer liquids to the client using a syringe: Syringe administration can lead to choking or aspiration and is not a standard feeding practice for dysphagia clients.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.
Correct Answer is D
Explanation
A. "I respect your right to choose to discontinue treatment." This demonstrates respect for autonomy but does not specifically convey veracity (truthfulness).
B. "I will have a hospice nurse come discuss this kind of care with you." This is an appropriate action but does not directly reflect truthfulness.
C. "I'll work with hospice services to help you transition to their care." This statement demonstrates support but does not explicitly involve truth-telling.
D. "I will answer any questions you have about hospice care honestly." This directly addresses the ethical principle of veracity by ensuring truthful communication with the client.
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