A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Aspiration (Option 1): The client's report of feeling food stuck in their mouth, along with the noted hoarseness, indicates difficulty swallowing (dysphagia), which puts them at risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications, including pneumonia.
Dysphagia (Option 2): The presence of dysphagia, or difficulty swallowing, directly supports the risk for aspiration. If the client is unable to swallow safely, there is an increased likelihood of aspiration occurring during eating or drinking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Providing snug-fitting nightwear may not help with insomnia; loose-fitting clothing is generally more comfortable for sleep.
B. Keeping the door to the client's room closed can help minimize disturbances and create a more tranquil environment, which is beneficial for a client with insomnia.
C. Administering diuretics in the evening can increase nighttime urination, which may exacerbate insomnia rather than alleviate it.
D. Using overhead lighting can disrupt the client's ability to relax and fall asleep; softer lighting is generally more conducive to a restful environment.
Correct Answer is B
Explanation
A. Suggesting a formal complaint may escalate the situation and does not directly address the AP's concerns.
B. This response uses reflective listening to acknowledge the assistive personnel’s feelings, encouraging open communication and further discussion.
C. This response dismisses the AP's concerns and could discourage open communication.
D. Telling the AP to "wait a little longer" dismisses their feelings and may come across as unsupportive.
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