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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "I will have my partner tilt their head back while I am instilling the drops:"
Tilting the head back is not the recommended position for administering otic (ear) drops. This position can lead to the medication running out of the ear rather than staying in the ear canal.
B. "I will have my partner lie down on their back while I am instilling the drops:"
While lying down is a better position than tilting the head back, it is not as effective as the correct technique of pulling the pinna upward and outward. Lying down may still allow the drops to flow out of the ear.
C. "I will pull the pinna upward and outward prior to instilling the drops:"
This is the correct answer. The proper technique for administering otic drops involves pulling the pinna (outer ear) upward and outward. This straightens the ear canal, facilitating the correct placement of the medication.
D. "I will make sure the solution is cool prior to instilling the drops:"
The temperature of the solution is not typically a specific consideration for ear drops unless otherwise specified by the healthcare provider. Room temperature drops are generally acceptable.

A. Transparent membrane dressing B. Hydrocolloid dressing C. Sterile gauze bandage D. Adhesive bandage

Correct Answer is A

Explanation

A. Transparent membrane dressing:
This is the correct answer. Transparent dressings are commonly used to cover peripheral IV catheter insertion sites. They provide a clear view of the site, allow for easy monitoring, and create a barrier against contamination while maintaining a moist environment.

B. Hydrocolloid dressing:
Hydrocolloid dressings are generally used for wounds with minimal exudate. They are not typically used for securing peripheral IV catheters.

C. Sterile gauze bandage:
Sterile gauze bandages may be used for specific types of wounds but are not the preferred choice for covering peripheral IV catheter sites. Gauze dressings may increase the risk of contamination and do not provide a clear view of the site.

D. Adhesive bandage:
Adhesive bandages (commonly known as band-aids) are not suitable for covering peripheral IV catheter sites. They are typically used for small wounds or cuts.

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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?

Nursing Test Bank

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