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: Looping the tubing on the client's bed can cause kinks and obstruct the drainage, which is not
recommended.
Choice B reason: Taping the connections on the chest tube is essential to maintain an airtight system and prevent air leaks, which is crucial for proper chest tube function.
Choice C reason: The chest tube drainage system should be placed below the level of the client's heart to facilitate gravity drainage, not above.
Choice D reason: Stripping the chest tube, which involves squeezing and pulling the tubing to clear clots, is not routinely recommended as it can generate negative pressure and damage tissue.
Correct Answer is B
Explanation
Choice A reason: Metabolic alkalosis is not commonly associated with COPD. It occurs when there is an accumulation
of bicarbonate or a loss of hydrogen ions.
Choice B reason: Respiratory acidosis is a common acid-base imbalance in clients with COPD. It occurs due to the retention of CO2 as a result of reduced respiratory function.
Choice C reason: Metabolic acidosis is characterized by a decrease in serum bicarbonate and is not typically a direct
result of COPD.
Choice D reason: Respiratory alkalosis occurs when there is a decrease in CO2 levels, which is the opposite of what is expected in COPD.
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