A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?
Ask the client to tilt her head back when swallowing.
Offer the client larger portions of food during the meal.
Use spoons, instead of cups, when serving liquids to the client.
Encourage the client to complete the meal within 15 min.
The Correct Answer is C
A. Ask the client to tilt her head back when swallowing. Tilting the head back can increase the risk of aspiration. Clients with dysphagia should be instructed to tuck their chin to their chest when swallowing.
B. Offer the client larger portions of food during the meal. Smaller portions are safer for clients with dysphagia to reduce the risk of choking and aspiration.
C. Use spoons, instead of cups, when serving liquids to the client. This is correct. Using spoons can help control the amount of liquid the client receives, reducing the risk of aspiration.
D. Encourage the client to complete the meal within 15 min. Rushing a meal increases the risk of choking and aspiration. Clients with dysphagia should eat slowly and take small bites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Sexual orientation describes a person's primary pattern of sexual attraction." This statement is accurate. Sexual orientation refers to the pattern of emotional, romantic, or sexual attraction one has toward others, which can be towards the same sex, opposite sex, or both.
B. "Interest in sexual activity decreases with age." This statement is not universally true. While some individuals may experience a decrease in interest in sexual activity with age, others maintain or even increase their sexual interest and activity. Age-related changes in sexual activity vary widely among individuals.
C. "The incidence of sexually transmitted infections is decreasing." This statement is incorrect. The incidence of sexually transmitted infections (STIs) has been increasing in many regions, particularly among certain age groups and populations.
D. "Gender identity is determined by the time a child is 2 years old." This statement is misleading. Gender identity typically begins to develop in early childhood, but it is not fully formed by age 2. It may evolve as the child grows and matures.
Correct Answer is D
Explanation
A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.
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