A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia.Which of the following actions by the AP should the nurse identify as correct technique?

Providing a 10 min rest period prior to meals

Elevating the head of the client's bed to 30° during mealtime

Withholding fluids until the end of the meal

Instructing the client to place her chin toward her chest when swallowing

Answer and Explanation

The Correct Answer is B

A: Providing a 10-minute rest period prior to meals can be beneficial for some clients, but it is not specifically related to the prevention of aspiration in clients with dysphagia. Rest periods do not directly facilitate safer swallowing processes.

B: Elevating the head of the client's bed to 30° during mealtime is the correct technique for a client with dysphagia. This position helps prevent aspiration, which can occur if food or liquids enter the lungs instead of going down the esophagus. The semi-upright position aids in the proper alignment of the esophagus and reduces the risk of choking.

C: Withholding fluids until the end of the meal is not an appropriate technique for a client with dysphagia. Fluids are often needed to help swallow and clear the mouth of food particles. Additionally, providing fluids throughout the meal can help prevent dehydration.

D: Instructing the client to place her chin toward her chest when swallowing can help prevent aspiration in clients with dysphagia. However, this technique should be used in conjunction with other methods, such as the correct positioning of the bed, to ensure safety and effectiveness.

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Correct Answer is A

Explanation

A. Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.

A. "I will wear an N95 respirator when providing care for the client." B. "I will check that the room has a high-efficiency particulate air filtration system." C. "I will wear a surgical mask within 3 feet of the client." D. "I will assign the client to a room with positive airflow." E. "I will assign the client to a room with positive airflow."

Correct Answer is C

Explanation

A. While an N95 respirator might be used for airborne precautions, for droplet precautions, a surgical mask is sufficient.
B. While an air filtration system might be beneficial for infection control, it is not a specific requirement for implementing droplet precautions.
C. Wearing a surgical mask within a close proximity (around 3 feet) of the client aligns with the guidelines for droplet precautions.
D. Assigning the client to a room with positive airflow is not necessary for implementing droplet precautions, which focus on preventing transmission through respiratory droplets.

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A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia.Which of the following actions by the AP should the nurse identify as correct technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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