A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a history of dysphagia. Which of the following instructions should the nurse include in the teaching?
Give the client a straw to use for drinking.
Place oral suction equipment next to the client's bedside.
Provide thin liquids to help the client swallow.
Use a needleless syringe to instill feedings.
The Correct Answer is B
A. "Give the client a straw to use for drinking" is incorrect. Straws are not recommended for clients with dysphagia because they can increase the risk of aspiration. It is better to use a cup to control the amount of liquid ingested and reduce choking risk.
B. "Place oral suction equipment next to the client's bedside" is correct. For clients with dysphagia, having oral suction equipment readily available can help clear the airway quickly in case of aspiration or choking. It is an important safety measure in the management of dysphagia.
C. "Provide thin liquids to help the client swallow" is incorrect. Thin liquids can increase the risk of aspiration for clients with dysphagia. It is often recommended to provide thickened liquids, as they are easier to swallow and less likely to be aspirated.
D. "Use a needleless syringe to instill feedings" is incorrect. The use of a needleless syringe for feeding is generally not appropriate for clients with dysphagia unless specifically recommended for feeding via a tube. Otherwise, feeding should be done carefully with consideration for the type and consistency of the food.
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Related Questions
Correct Answer is D
Explanation
A. "Count the client's respirations for 15 seconds" is incorrect. The nurse should count respirations for a full 60 seconds to ensure accuracy, especially in postoperative clients, as irregularities may be more easily detected with a longer observation period.
B. "Place the client in a supine position" is not necessary. While the position of the client can affect respiration, the nurse does not need to place the client in a supine position specifically to assess respirations. The client should be in a comfortable position that allows for adequate observation.
C. "Inform the client when beginning to observe his respirations" is incorrect. The client should not be aware that their respirations are being counted, as awareness can alter their breathing patterns and lead to inaccurate data.
D. "Observe the movements of the client's chest wall" is correct. Observing the chest wall allows the nurse to assess the rate, depth, and rhythm of respirations, as well as any signs of distress or abnormal patterns, which is crucial for monitoring postoperative respiratory status.
Correct Answer is B
Explanation
A. “This medication will darken the color of my eyes.” is incorrect. Timolol is a nonselective beta-blocker used to reduce intraocular pressure in glaucoma. It does not typically cause eye color changes.
B. "I should check my heart rate while taking this medication." is correct. Timolol can cause systemic side effects such as bradycardia, so the client should monitor their heart rate while taking the medication.
C. "I should take a zinc supplement while taking this medication." is incorrect. Zinc supplementation is not related to the use of timolol.
D. “This medication will dilate my eyes." is incorrect. Timolol works by decreasing aqueous humor production, reducing intraocular pressure, and does not cause dilation of the eyes. Medications like atropine are used for pupil dilation.
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