A nurse is providing teaching for a group of clients who have dysphagia. Which of the following interventions should the nurse include?
“Use a straw to sip liquids."
“Dry swallow in between bites.”
“Mix foods of different textures into the same bite."
“Assume a chin-up position."
The Correct Answer is B
A. “Use a straw to sip liquids.” Using a straw increases the flow of liquid, making it more difficult to control and increasing the risk of aspiration in clients with dysphagia.
B. “Dry swallow in between bites.” Performing a dry swallow between bites helps clear the throat and esophagus of any remaining food, reducing the risk of aspiration and ensuring that each bite is swallowed completely before taking another.
C. “Mix foods of different textures into the same bite.” Combining textures (e.g., liquid and solid) can confuse swallowing reflexes and increase aspiration risk. Foods should be uniform in consistency.
D. “Assume a chin-up position.” A chin-up position opens the airway and increases aspiration risk. The correct position is a chin-down (chin-tuck) posture, which helps protect the airway during swallowing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
Explanation
The client is at risk for developing serotonin syndromedue to adverse effects of paroxetine.
Rationale:
Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity, often from SSRIs or interactions with other serotonergic medications.
This client recently had fluoxetine discontinued and paroxetine started at 10 mg, then increased to 30 mg daily. Rapid dose increases or overlapping serotonergic effects increase the risk of serotonin syndrome.
Manifestations such as restlessness, abdominal pain, disorientation, and fever are classic early signs of serotonin syndrome.
Mania: There is no history of bipolar disorder or manic episodes; current symptoms are not consistent with mania.
Psychosis: No hallucinations, delusions, or disorganized thinking noted, making psychosis less likely.
Correct Answer is B
Explanation
A. While deep breathing is a helpful coping strategy, preschoolers may not yet have the cognitive or attention span to consistently use structured breathing for pain control. It’s better to use distraction, reassurance, and play techniques.
B. Preschoolers (ages 3–5) have limited understanding and a concrete way of thinking. The nurse should explain procedures simply and honestly—using short sentences and familiar words—to reduce fear and promote cooperation. For example, “I’m going to clean your sore and put on a new bandage. It might sting a little, but I’ll be quick.”
C. Parents provide emotional support and security. Unless contraindicated, parents should remain present to comfort the child.
D. Teaching sessions should be short (5–10 minutes) because preschoolers have short attention spans. Twenty minutes is too long and may increase anxiety.
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