For a client at a high risk of aspiration, the nurse anticipates that there will be goals and interventions (taking action) related to safety observations during:
Feeding
Transferring
Bathing
Ambulation
The Correct Answer is A
The correct answer is choice A, feeding. Aspiration is a serious risk for clients who have difficulty swallowing or have other conditions that increase the risk of food or liquid entering the airway. During feeding, the nurse should monitor the client closely for any signs of distress or difficulty swallowing. The nurse may need to modify the consistency or texture of the food or liquid or use assistive devices such as a straw or feeding tube to reduce the risk of aspiration. Additionally, the nurse may need to position the client upright and provide support as needed during feeding. While safety observations are important during all activities, feeding is the most critical activity for clients at high risk of aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["333"]
Explanation
To calculate the infusion rate, we need to divide the total volume to be infused by the total time of infusion and then multiply by 60 to convert to mL/h:
1000 mL ÷ 3 hours = 333.33 mL/h
Rounding to the nearest whole number, the IV pump should be programmed for 333 mL/h.
Correct Answer is D
Explanation
The correct answer is D. Reservoir. A reservoir is a source of infection where infectious agents can live and reproduce. In the case of food poisoning, the contaminated food serves as the reservoir of infectious agents, such as bacteria or viruses, that cause the illness. Other examples of reservoirs include animals, soil, water, and contaminated medical equipment. The contaminated food can be a potential source of infection for anyone who consumes it, and it is important to properly handle and prepare food to prevent the spread of illness. By identifying and controlling the source of the infection, such as the contaminated food, healthcare providers can help prevent the spread of infectious diseases.
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