A nurse is caring for a client who is at risk for aspiration pneumonia due to dysphagia. Which of the following actions should the nurse take to prevent this complication?
Tell the client to lie down after eating.
Instruct the client to tuck her chin when swallowing.
Place the client in a Fowler's position to eat.
Encourage the client to drink water before each meal.
The Correct Answer is B
Choice A reason: Telling the client to lie down after eating can increase the risk of aspiration pneumonia, as food or liquids can enter the lungs more easily when lying down.
Choice B reason: Instructing the client to tuck her chin when swallowing can help prevent aspiration pneumonia, as it closes off the airway and directs food or liquids into the esophagus.
Choice C reason: Placing the client in a Fowler's position to eat can help prevent aspiration pneumonia, as it elevates the head and chest and allows gravity to assist with swallowing.
Choice D reason: Encouraging the client to drink water before each meal can increase the risk of aspiration pneumonia, as it can thin out saliva and make it harder to control swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Feedings should not be accompanied by nonnutritive sucking. Nonnutritive sucking is the act of sucking on a pacifier, finger, or other object without getting any nutrition. Nonnutritive sucking can interfere with the establishment of breastfeeding, cause nipple confusion, and reduce milk supply.
Choice B reason: Feedings should be on demand. On demand feeding means feeding the newborn whenever they show signs of hunger, such as rooting, sucking, or crying. On demand feeding helps the newborn regulate their appetite, meet their nutritional needs, and bond with their caregiver.
Choice C reason: Feedings should not begin within 1 hr after birth. This instruction is applicable for breastfeeding, not bottle feeding. Breastfeeding should begin within 1 hr after birth to initiate milk production, stimulate uterine contractions, and transfer colostrum to the newborn. Bottle feeding can be delayed until the newborn is stable and alert.
Choice D reason: Feedings may not occur in clusters. Cluster feeding means feeding the newborn more frequently and for longer periods of time during certain times of the day or night. Cluster feeding is common in breastfed newborns, especially during growth spurts or developmental leaps. Bottle fed newborns may not exhibit cluster feeding, as they tend to have more consistent and predictable feeding patterns.
Correct Answer is C
Explanation
Choice A reason: 1/2 cup cooked broccoli contains about 2.6 grams of fiber, which is moderate compared to other foods. Broccoli is also a good source of vitamin C, folate, and antioxidants.
Choice B reason: 1 slice whole wheat bread contains about 2 grams of fiber, which is low compared to other foods. Whole wheat bread is also a good source of carbohydrates, B vitamins, and magnesium.
Choice C reason: 1 medium apple with peel contains about 4.4 grams of fiber, which is high compared to other foods. Apple is also a good source of vitamin C, potassium, and phytochemicals.
Choice D reason: 1/2 cup corn flakes with skim milk contains about 0.5 grams of fiber, which is very low compared to other foods. Corn flakes are also high in sugar and low in nutrients, while skim milk is a good source of protein and calcium.
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