A nurse is caring for a client.
A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?
I will have to stop watching television while I eat.
I will look up at the ceiling when I Swallow.
I won’t be able to eat nuts anymore.
I shouldn’t drink liquids while I have food in my mouth.
My food will have to be the consistency of pudding.
I can have cream soups on this diet
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Understanding: A, D, E, F
No understanding: B, C
A. This indicates understanding. Distractions during meals are discouraged to focus on chewing and swallowing.
B. This indicates no understanding. This is not a recommended technique for managing dysphagia. It's important to maintain a neutral head position during swallowing.
C. This indicate no understanding. Nuts are a common choking hazard and are often restricted for individuals with dysphagia to prevent aspiration.
D. This is a correct understanding. It's important to separate drinking liquids and eating to prevent choking and aspiration.
E. This is a correct understanding. Depending on the severity of dysphagia, a soft or pureed diet may be recommended.
F. Cream soups are generally allowed on a dysphagia diet, as they are usually smooth and do not pose a high risk of aspiration.
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Correct Answer is D
Explanation
A. Dishwashing gloves can contain latex, which may trigger an allergic reaction in individuals with latex allergies.
B. Elastic bandages may contain latex, posing a risk for individuals with latex allergies.
C. Latex balloons are a common source of latex exposure and can trigger an allergic reaction.
D. Using ink pens instead of latex-containing products for writing helps avoid exposure to latex.
Correct Answer is C
Explanation
A. Antihistamines are not typically contraindicated in gout.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs) do not affect uric acid levels and can be used to treat gout flare-ups.
C. Salicylates are a type of medication that can increase the level of uric acid in the blood, which can worsen gout symptoms. Uric acid is a waste product that forms crystals in the joints, causing inflammation and pain.
D. Glucocorticoids may be used to manage acute gout attacks and are not necessarily contraindicated, but long-term use should be monitored.
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