A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?
Alternate the client's liquids and solids during meals.
Elevate the client's head of the bed to 45 degrees during meals.
Instruct the client to tilt their head back while swallowing.
Turn on the client's television during meals.
The Correct Answer is B
Choice A reason: Alternating liquids and solids is not a specific intervention for dysphagia management.
Choice B reason: Elevating the head of the bed to 45 degrees or higher during meals can help prevent aspiration in
clients with dysphagia.
Choice C reason: Telling a client with dysphagia to tilt their head back while swallowing can increase the risk of aspiration.
Choice D reason: Turning on the television is not a recommended practice as it can distract the client from focusing
on safe swallowing techniques.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aluminum-containing antacids are more likely to cause constipation rather than diarrhea.
Choice B reason: Magnesium-containing antacids can cause diarrhea because magnesium can act as an osmotic laxative, drawing water into the intestines and increasing peristalsis.
Choice C reason: While antibiotics can disrupt the gut flora and potentially cause diarrhea, they are not the best
answer when compared to magnesium-containing antacids specifically known for this side effect.
Choice D reason: Anticholinergics/antispasmodics typically reduce gastrointestinal motility, which would more likely lead to constipation instead of diarrhea.
Choice E reason: Opioid narcotics are known to cause constipation due to reduced gut motility, not diarrhea
Correct Answer is B
Explanation
Choice A reason: Having the client place their head between their knees may help with some causes of hyperventilation, but it is not a standard treatment for respiratory alkalosis.
Choice B reason: Having the client breathe into a paper bag can help to rebreathe exhaled carbon dioxide, which can
help correct the low carbon dioxide levels seen in respiratory alkalosis.
Choice C reason: Insulin is not indicated for respiratory alkalosis as it is used for the management of hyperglycemia, not for correcting acid-base imbalances.
Choice D reason: Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis, and could
exacerbate the alkalosis.
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