A nurse is caring for a client who has dysphagia. Which of the following instructions should the nurse give to the client to decrease the risk of choking?
Tilt your head forward while you eat.
Obtain your vitamins in liquid form.
Cool foods down to room temperature before consuming.
Drink water with each bite of food.
The Correct Answer is A
Choice A reason: Tilt your head forward while you eat is a correct instruction for dysphagia. This position can help prevent choking by closing the airway and directing food and fluids to the back of the mouth and throat.
Choice B reason: Obtain your vitamins in liquid form is not a correct instruction for dysphagia. Liquid vitamins can be too thin and watery for people with dysphagia, as they can easily enter the airway and cause aspiration. Vitamins should be taken in pill or chewable form, or crushed and mixed with thickened liquids or pureed foods.
Choice C reason: Cool foods down to room temperature before consuming is not a correct instruction for dysphagia. Food temperature does not affect the risk of choking for people with dysphagia, as long as the food is not too hot or too cold. Food texture and consistency are more important factors for safe swallowing.
Choice D reason: Drink water with each bite of food is not a correct instruction for dysphagia. Water can also be too thin and watery for people with dysphagia, as it can also enter the airway and cause aspiration. Water should be thickened to a nectar-like, honey-like, or pudding-like consistency, depending on the individual's needs and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Tuna fish is a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is soft, moist, and easy to swallow. Tuna fish also provides protein, omega-3 fatty acids, and vitamin D for the client.
Choice B reason: Roast beef is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because it is tough, dry, and hard to chew. Roast beef can cause pain, fatigue, or choking for the client who has missing teeth. Roast beef should be avoided or cut into very small pieces and moistened with gravy or sauce before consuming.
Choice C reason: Apple slices are not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are crisp, firm, and sticky. Apple slices can cause irritation or injury to the gums or mouth or dislodge any remaining teeth. Apple slices should be avoided or cooked until soft and mashed before consuming.
Choice D reason: Dried fruit is not a good food choice for an older adult client who has difficulty chewing due to missing teeth because they are chewy, sticky, and sugary. Dried fruit can adhere to the gums or teeth and cause dental caries or gum disease. Dried fruit should be avoided or soaked in water until soft and cut into small pieces before consuming.
Correct Answer is D
Explanation
Choice A reason:Raw carrots are not a good choice for a 9-month-old infant because they are also a choking hazard. Raw carrots are hard and crunchy, which can be difficult for the infant to chew and swallow. Raw carrots should be cooked until soft and cut into small pieces before offering to the infant.
Choice B reason: Unsalted popcorn is not a good choice for a 9-month-old infant because it poses a choking hazard. Popcorn is hard, dry, and irregularly shaped, which can easily get stuck in the infant's throat or airway. Popcorn should be avoided until the child is at least 4 years old.
Choice C reason: Skim milk is not a good choice for a 9-month-old infant because it does not provide enough fat and calories for their growth and development. Infants should drink breast milk or formula until they are at least 12 months old.
Choice D reason: Graham crackers are a good choice for a 9-month-old infant because they are soft, easy to chew, and provide carbohydrates and iron for their energy and growth. Graham crackers can be broken into small pieces and given to the infant as finger food.
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