A nurse is caring for a client who has dysphagia and has difficulty swallowing during meals. Which of the following actions should the nurse take to reduce the client's risk of aspiration?
Add liquid to foods to thin consistency.
Tilt the client's head slightly backward.
Encourage socialization with others during meals.
Provide mouth care before the client eats.
The Correct Answer is D
A. Add liquid to foods to thin consistency.: Thin liquids are actually the most difficult to swallow and increase the risk of aspiration. Foods should be thickened to a "nectar" or "honey" consistency as prescribed.
B. Tilt the client's head slightly backward.: This opens the airway. For safe swallowing, the client should use the "chin-tuck" method (tilting the head forward/down) to help close the trachea and open the esophagus.
C. Encourage socialization with others during meals.: Clients with dysphagia should focus entirely on chewing and swallowing to prevent aspiration; talking while eating increases risk.
D. Provide mouth care before the client eats.: Oral hygiene before meals stimulates the appetite and removes bacteria from the mouth. If a client does aspirate, they are less likely to develop pneumonia if their oral cavity is clean.
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Related Questions
Correct Answer is D
Explanation
A. Add liquid to foods to thin consistency.: Thin liquids are actually the most difficult to swallow and increase the risk of aspiration. Foods should be thickened to a "nectar" or "honey" consistency as prescribed.
B. Tilt the client's head slightly backward.: This opens the airway. For safe swallowing, the client should use the "chin-tuck" method (tilting the head forward/down) to help close the trachea and open the esophagus.
C. Encourage socialization with others during meals.: Clients with dysphagia should focus entirely on chewing and swallowing to prevent aspiration; talking while eating increases risk.
D. Provide mouth care before the client eats.: Oral hygiene before meals stimulates the appetite and removes bacteria from the mouth. If a client does aspirate, they are less likely to develop pneumonia if their oral cavity is clean.
Correct Answer is ["A","C","E"]
Explanation
A. Photo identification: In many long-term care settings, a photo is used as a secondary identifier for clients who may be confused or non-verbal.
B. Room number: Room numbers are never used as identifiers because clients can be moved or transferred between rooms.
C. Facility-assigned identification number: This is a unique number assigned to the specific client upon admission.
D. Diagnosis: Multiple clients on a unit may share the same diagnosis (e.g., CHF or Diabetes).
E. Date of birth: This is a standard, unique identifier used in conjunction with the client's name.
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