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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Disorientation to place is concerning but may not require immediate reporting.
B. Clear fluid draining from the ear may indicate cerebrospinal fluid leakage, which is a serious concern and requires immediate attention.
C. An elevated heart rate may be a response to the fall and should be monitored but may not require immediate reporting.
D. An edematous bruise on the forehead should be monitored but may not require immediate reporting unless there are signs of more serious injury.
Correct Answer is A
Explanation
A. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.
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