A nurse is caring for a client who is 9 days postoperative following a total laryngectomy. The nurse removes the client's NG tube and initiates oral feedings. Which of the following statements should the nurse make?
"Tuck your chin when you swallow so you won't choke."
"You should have no trouble swallowing fluids."
"I will add a thickener to your liquids to prevent aspiration."
"It is no longer possible for you to choke on or aspirate food."
The Correct Answer is C
A. Tucking the chin when swallowing can help reduce the risk of aspiration in clients with certain conditions, but after a total laryngectomy, clients are at increased risk for aspiration due to altered anatomy and should have thickened liquids to minimize this risk.
B. Clients who have undergone a total laryngectomy may have difficulties with swallowing and are at risk of aspiration. It is not accurate to say they will have no trouble swallowing fluids without proper assessment and adaptation.
C. Adding a thickener to liquids is a recommended intervention to reduce the risk of aspiration in clients who have had a laryngectomy, as thickened fluids are less likely to be aspirated into the lungs compared to thin liquids.
D. Clients who have had a total laryngectomy are still at risk for choking or aspiration due to changes in their swallowing mechanics and altered anatomy. It is important to take preventive measures, such as thickening liquids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinking 8 cups of liquid daily is a correct measure to help flush out bacteria and prevent UTIs.
B. Wiping from back to front can increase the risk of transferring bacteria from the rectal area to the urethra; the correct practice is to wipe from front to back.
C. Regular and complete bladder emptying helps reduce the risk of bacterial growth in the urinary tract.
D. Drinking apple cider vinegar is not a standard recommendation for preventing UTIs; more evidence-based practices should be emphasized.
Correct Answer is B
Explanation
A. An HbA1c of 8.5% indicates poor glycemic control and higher average blood glucose levels over the past 2 to 3 months. This value is above the recommended target for most individuals with diabetes.
B. An HbA1c of 6.3% reflects good glucose control and is generally within the target range for many individuals with diabetes, typically aiming for below 7%.
C. An HbA1c of 7.8% indicates that the client’s glucose levels are higher than the recommended target but not as poor as 8.5%. It suggests that glucose control could be improved.
D. An HbA1c of 10% is indicative of very poor glucose control and requires significant adjustment in diabetes management.
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