A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to reduce the risk of aspiration?

Have the client point their chin upward to swallow.

Offer the client saltine crackers between meals.

Thicken liquids before serving.

Place food on the affected side of the mouth.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Having the client point their chin upward to swallow is not a recommended action to reduce the risk of aspiration. In fact, this action can increase the risk of choking and aspiration, as it may cause food or liquids to enter the airway.
Choice B rationale:
Offering the client saltine crackers between meals is not a suitable action for reducing the risk of aspiration. Saltine crackers are dry and can be challenging to swallow for someone with dysphagia, potentially increasing the risk of aspiration.
Choice C rationale:
Thicken liquids before serving is the correct action to reduce the risk of aspiration in a client with dysphagia. Thickened liquids are easier to swallow and less likely to enter the airway, reducing the risk of aspiration pneumonia.
Choice D rationale:
Placing food on the affected side of the mouth does not address the risk of aspiration directly. Dysphagia may affect both sides of the mouth, and placing food on one side does not ensure safe swallowing and reduces the effectiveness of addressing the problem.

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Correct Answer is C

Explanation

Choice A rationale:

Using fingers to remove loose tissue is not an appropriate action for the nurse to take when providing hydrotherapy for a burn wound. This action can cause further trauma to the wound and increase the risk of infection.

Choice B rationale:

Opening small blisters to expose air is contraindicated in burn wound management. The blister roof provides a natural barrier against infection, and puncturing them increases the risk of infection and delays the healing process.

Choice C rationale:

The correct answer is to wash the burn with a mild soap. Cleaning the burn wound with mild soap and water helps remove debris and minimize the risk of infection without causing additional damage.

Choice D rationale:

Applying wet-to-dry dressings is an outdated and inappropriate practice for burn wound care. Wet-to-dry dressings can be painful, disrupt wound healing, and increase the risk of infection. Modern burn wound care focuses on maintaining a moist environment to support optimal healing.

A. "Take the medication on an empty stomach.”. B. "Increase fiber in your diet.”. C. "Discard the oral suspension if it is cloudy after mixing.”. D. "Avoid drinking grapefruit juice.".

Correct Answer is C

Explanation

Choice A rationale:

Taking colesevelam on an empty stomach is not necessary. This medication can be taken with food to reduce gastrointestinal side effects.

Choice B rationale:

Increasing fiber in the diet is generally beneficial for bowel health, but it is not specific to the use of colesevelam powder for oral suspension.

Choice C rationale:

This is the correct answer because if the oral suspension of colesevelam is cloudy after mixing, it indicates that the medication may have degraded or is not suitable for consumption. Discarding the cloudy suspension ensures that the client receives the appropriate dose and effectiveness of the medication.

Choice D rationale:

Avoiding grapefruit juice is important for some medications, but it is not relevant to colesevelam. Grapefruit juice can interfere with the metabolism of certain drugs, but it does not have a significant effect on colesevelam.

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A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to reduce the risk of aspiration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to provide hydrotherapy for a client who has a burn wound. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is teaching a client who has a new prescription for colesevelam powder for oral suspension. The nurse should include which of the following instructions?

Correct Answer is C

Explanation

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