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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.

A. The client uses religious symbols to relieve pain. B. The client requests holy communion daily. C. The client refuses medical treatment on holy days. D. The client prefers a female nurse to provide care.

Correct Answer is D

Explanation

A. The client uses religious symbols to relieve pain. This is not a typical practice in Islam.
B. The client requests holy communion daily. Holy communion is a Christian practice, not an Islamic one.
C. The client refuses medical treatment on holy days. There are no specific prohibitions against receiving medical treatment on holy days in Islam.
D. The client prefers a female nurse to provide care. Many Muslim women prefer to be cared for by female healthcare providers due to modesty and religious practices.

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A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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