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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. An inverted P wave is not a classic sign of hypokalemia. It can occur due to various other reasons, including atrial abnormalities.

B. An elevated ST segment is more indicative of hyperkalemia or ischemic changes rather than hypokalemia.

C. An abnormally prominent U wave is a common sign of hypokalemia. Hypokalemia can cause changes in the EKG, including the presence of a prominent U wave following the T wave.

D. A wide QRS complex is typically associated with hyperkalemia or bundle branch blocks, not hypokalemia.

A. Serum phosphorus levels B. Serum potassium levels C. Serum calcium levels D. Serum magnesium levels

Correct Answer is A

Explanation

A. Aluminum hydroxide is effective in lowering serum phosphorus levels, which is beneficial for CKD patients who often have elevated phosphorus due to impaired kidney function.
B. Serum potassium levels are not directly affected by aluminum hydroxide; this would be more relevant to medications like potassium binders.
C. Serum calcium levels are not primarily influenced by aluminum hydroxide; in fact, aluminum can affect calcium levels in different ways.
D. Serum magnesium levels are not significantly affected by aluminum hydroxide, whereas magaldrate, which contains magnesium, could potentially increase magnesium levels.

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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?

Nursing Test Bank

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