A nurse is providing teaching for a group of clients who have dysphagia. Which of the following interventions should the nurse include?

“Use a straw to sip liquids."

“Dry swallow in between bites.”

“Mix foods of different textures into the same bite."

“Assume a chin-up position."

Answer and Explanation

The Correct Answer is B

A. “Use a straw to sip liquids.” Using a straw increases the flow of liquid, making it more difficult to control and increasing the risk of aspiration in clients with dysphagia.

B. “Dry swallow in between bites.” Performing a dry swallow between bites helps clear the throat and esophagus of any remaining food, reducing the risk of aspiration and ensuring that each bite is swallowed completely before taking another.

C. “Mix foods of different textures into the same bite.” Combining textures (e.g., liquid and solid) can confuse swallowing reflexes and increase aspiration risk. Foods should be uniform in consistency.

D. “Assume a chin-up position.” A chin-up position opens the airway and increases aspiration risk. The correct position is a chin-down (chin-tuck) posture, which helps protect the airway during swallowing.

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Correct Answer is B

Explanation

A. Assessing pressure points every 24 hours is insufficient. Skin should be assessed at least every shift or more often for high-risk clients.

B. Shifting weight every 15 minutes while sitting helps relieve pressure and improve circulation, preventing further skin breakdown. This is essential for clients with paraplegia who are at high risk for pressure injuries.

C. Turning every 3 hours is inadequate; repositioning should occur at least every 2 hours to prevent tissue ischemia.

D. Donut-shaped cushions are not recommended because they concentrate pressure around the edges, worsening tissue damage.

A. Use a lateral transfer device when moving a client from a bed to a stretcher. B. Transfer on the client's weaker side when moving a client from a bed to a chair. C. Use a pillow underneath the client's head when repositioning a client in bed. D. Raise the head of the bed when transferring a client from a bed to a stretcher.

Correct Answer is A

Explanation

A. Using a lateral transfer device (e.g., slide board, mechanical transfer aid) decreases friction and reduces the risk of musculoskeletal injury to both client and staff. This is a fundamental ergonomic principle.

B. The nurse should move or transfer the client toward their stronger side to promote safety and stability, not the weaker side.

C. While pillows can be used for comfort and alignment, they are not part of ergonomic safety principles for lifting or transferring clients.

D. The head of the bed should be lowered (flat position) during lateral transfers to keep the client’s body aligned and prevent falls. Raising the head increases risk of sliding or strain.

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A nurse is providing teaching for a group of clients who have dysphagia. Which of the following interventions should the nurse include?

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