A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Administer more than one pill to the client at a time.
Tilt the client's head back when administering the medications
Place the medications on the back of the client's tongue
Mix the medications with a semisolid fop for the client
The Correct Answer is D
A. Administer more than one pill to the client at a time: Administering more than one pill at a time may increase the risk of choking, especially for individuals with dysphagia. It's generally advisable to administer one medication at a time to ensure proper swallowing.
B. Tilt the client's head back when administering the medications: Tipping the head backward can increase the risk of aspiration (inhalation of medication into the airways). It is recommended to keep the head in a neutral or slightly forward position to facilitate swallowing.
C. Place the medications on the back of the client's tongue: Placing medications on the back of the tongue may trigger the gag reflex and increase the risk of aspiration. Medications should be placed on the front of the tongue to allow for better control and coordination of swallowing.
D. Mix the medications with a semisolid food for the client (Correct Answer): Mixing medications with a semisolid food, often referred to as "food thickening," can be beneficial for clients with dysphagia. This helps make the medications easier to swallow and reduces the risk of choking or aspiration. However, it is important to check with the healthcare provider or pharmacist to ensure compatibility with specific medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A vein that feels hard to the touch:
A vein that feels hard to the touch may indicate thrombosis or inflammation and is not a suitable site for catheter insertion.
B. A vein in the client's dominant arm:
The choice of arm may depend on the client's preference, but it is not a strict rule. The nurse can choose a suitable vein in either arm based on factors such as accessibility and vein condition.
C. A vein proximal to the previous site:
This is the correct answer. Placing the catheter proximal (above or upstream) to the previous site helps minimize the risk of complications such as infiltration and thrombophlebitis at the new site. It allows for optimal vein health and reduces the likelihood of complications associated with repeated punctures in the same area.
D. A vein on the client's wrist:
Veins on the wrist may be smaller and more prone to complications. It is generally recommended to choose larger, more accessible veins for catheter insertion.
Correct Answer is A
Explanation
A. Nitroglycerin: Contraindicated with sildenafil due to the risk of severe hypotension. Both medications cause vasodilation, and their combined use can result in a dangerous drop in blood pressure.
B. Albuterol: Albuterol is not a contraindication for sildenafil. It is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD).
C. Furosemide: Furosemide is a diuretic and is not a contraindication for sildenafil. However, it is important to consider the overall health and medical conditions of the individual.
D. Indomethacin: Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) and is not a contraindication for sildenafil. However, individuals taking NSAIDs should be cautious due to potential interactions and side effects.
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