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A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.

Exhibits
Complete the following sentence by using the list of options.

The client is at risk for

as evidenced by the client's

Answer and Explanation

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.


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Related Questions

Correct Answer is B

Explanation

A. Rapid chewing is not specific to dysphagia.

B. A garbled or "wet" voice is often a sign of dysphagia, as it can indicate difficulty with swallowing and risk for aspiration.

C. Sneezing is not typically associated with swallowing difficulties.

D. Increased hunger is unrelated to dysphagia and does not indicate difficulty swallowing.

Correct Answer is A

Explanation

A. Applying the restraint over the client’s gown protects the skin and ensures comfort.

B. Restraints should never be tied to the side rail as it could lead to injury if the bed is adjusted; they should be tied to a stable part of the bed frame.

C. Skin integrity should be checked more frequently than every 4 hours to prevent injury.

D. Typically, two fingers, not four, should fit between the restraint and the client’s body to ensure it’s secure but not too tight.

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