A nurse is supervising assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?
Providing a 10min rest period prior to meals
Elevating the head of the client’s bed to 30 degrees during mealtime
Instructing the client to place her chin toward her chest when swallowing
Withholding fluids until the end of the meal
The Correct Answer is B
a. Providing a rest period prior to meals may be appropriate for some clients, but it is not a standard technique for managing dysphagia during mealtime.
b. Elevating the head of the client’s bed to 30 degrees during mealtime helps prevent aspiration and facilitates swallowing in clients with dysphagia.
c. Instructing the client to place her chin toward her chest when swallowing is not recommended and may increase the risk of aspiration.
d. Withholding fluids until the end of the meal is not recommended for clients with dysphagia, as they may need fluids to help with swallowing and to prevent dehydration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Before taking any further action, the charge nurse should first determine the reasons why the nurses are not taking their scheduled breaks. Understanding the underlying causes will help address the issue effectively.
b. Providing coverage for the nurses' breaks may be necessary but should not be the first action taken. It is important to understand why the nurses are not taking breaks before providing coverage.
c. While reviewing facility policies is important, it should not be the first step when addressing the issue of nurses not taking breaks.
d. Discussing time management strategies with the nurses may be helpful, but it should come after understanding the reasons behind their behavior.
Correct Answer is C
Explanation
a. While telehealth may facilitate communication between providers, its primary objective is often to assess and address the needs of clients remotely.
b. Developing client treatment protocols may be a component of telehealth, but it is not its primary objective.
c. One of the main objectives of telehealth is to assess client needs remotely, allowing for the provision of healthcare services without the need for an in-person visit.
d. Providing medication reconciliation may be a component of telehealth services, but it is not its primary objective.
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