A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?
Use a syringe to give the client fluids.
Tilt the client's head forward when swallowing.
Schedule physical therapy directly before mealtime.
Encourage the client to complete the meal within 15 min.
The Correct Answer is B
A. Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B. Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C. Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D. Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increasing caloric intake before pregnancy without specific guidance can lead to unnecessary weight gain. It's essential for individuals to maintain a healthy weight before pregnancy, but there's no need to deliberately increase caloric intake.
B. Increasing folic acid intake to 400 micrograms per day prior to pregnancy is recommended to help prevent neural tube defects in the developing fetus. This is a crucial dietary guideline for women who are planning to become pregnant.
C. While seafood can be a source of important nutrients such as omega-3 fatty acids, consuming excessive amounts may expose the client to potential contaminants such as mercury. It's recommended to consume seafood in moderation and choose low-mercury options.
D. Ascorbic acid, or vitamin C, is important for overall health and is not typically restricted in the diet unless medically necessary. There's no need to decrease ascorbic acid intake in preparation for pregnancy.
Correct Answer is B
Explanation
A. Sucking on sugar-free candy may exacerbate diarrhea due to the sugar alcohols or artificial sweeteners commonly found in such candies.
B. Eating bananas can be beneficial because they are rich in potassium, which can help replace electrolytes lost during diarrhea.
C. Drinking hot tea, especially caffeinated varieties, can act as a diuretic and may worsen dehydration.
D. Carbonated beverages can contribute to gas and bloating, which may worsen discomfort in someone experiencing diarrhea.
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