A nurse is caring for a client who has experienced a cerebrovascular accident with resulting dysphagia.
Which of the following therapists assists clients to learn to eat with less risk of aspiration?
Speech.
Respiratory.
Physical.
Occupational.
The Correct Answer is A
Aspiration is when food or liquid enters the airway and causes choking or infection. Speech therapists can teach clients exercises to strengthen the muscles involved in swallowing, as well as strategies to prevent aspiration, such as changing the position of the head or the texture of the food.
Choice B is wrong because respiratory therapists help clients with breathing problems, not swallowing problems.
They may provide oxygen therapy, chest physiotherapy, or mechanical ventilation.
Choice C is wrong because physical therapists help clients with mobility problems, not swallowing problems.
They may provide exercises, massage, or assistive devices to improve movement and function.
Choice D is wrong because occupational therapists help clients with daily living activities, not swallowing problems.
They may provide training, adaptive equipment, or environmental modifications to enhance independence and quality of life.
Dysphagia is a medical term for swallowing difficulties.
It can be caused by various conditions that affect the nerves or muscles involved in swallowing, such as stroke, head injury, Parkinson’s disease, or esophageal cancer.
Dysphagia can lead to complications such as malnutrition, dehydration, or aspiration pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because the nurse should first assess the client’s baseline knowledge and readiness to learn before providing any teaching.
The nurse should also tailor the teaching to the client’s individual needs and preferences.
Choice B is wrong because showing the client a video demonstration of peak flow meter use may not be the most effective way of teaching if the client has different learning styles or needs.
The nurse should also involve the client in the learning process and not just rely on passive methods.
Choice C is wrong because observing the client using the peak flow meter is an evaluation step that should be done after teaching and reinforcing the correct technique.
The nurse should not assume that the client knows how to use the peak flow meter without assessing their knowledge first.
Choice D is wrong because emphasizing the importance of the daily use of the peak flow meter is a motivational strategy that should be done after assessing the client’s knowledge and providing teaching.
The nurse should also explain the rationale and benefits of using the peak flow meter, not just tell the client to do it.
A peak flow meter is a small device that measures how fast a person can forcefully blow air out of their lungs in one fast breath.
It is one indicator of airways changes that may occur in people with asthma or COPD.
To get a peak flow meter, speak to a doctor.
Correct Answer is B
Explanation
The correct answer is choice B. Palliative care is a type of care that improves the quality of life of patients and their families who are facing problems associated with life-threatening illness.
It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.
Palliative care also provides emotional support to the patients and their families during the illness.
Therefore, choice B indicates an understanding of the teaching.
Choice A is wrong because it contradicts the goal of palliative care to address the spiritual needs of the patients and their families.
Spiritual advisors can help patients cope with their illness and find meaning and purpose in their situation.
Choice C is wrong because it denies the patient the opportunity to express their feelings and concerns about their illness.
Palliative care involves open and honest communication between the patients, their families and the health care team.
Discussing the illness can help patients make informed decisions about their care and prepare for the end of life.
Choice D is wrong because it goes against the principle of palliative care to respect the patient’s wishes and preferences regarding their treatment.
Resuscitation is a procedure that attempts to revive someone from apparent death or unconsciousness.
Some patients may not want resuscitation if they have a terminal illness or a poor quality of life.
They may have an advance directive or a living will that states their preferences for end-of-life care.
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