A nurse is supervising 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 10min rest period prior to meals

Elevating the head of the client’s bed to 30 degrees during mealtime

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

Withholding fluids until the end of the meal

Answer and Explanation

The Correct Answer is B

a.   Providing a rest period prior to meals may be appropriate for some clients, but it is not a standard technique for managing dysphagia during mealtime.
b.   Elevating the head of the client’s bed to 30 degrees during mealtime helps prevent aspiration and facilitates swallowing in clients with dysphagia.
c.   Instructing the client to place her chin toward her chest when swallowing is not recommended and may increase the risk of aspiration.
d.   Withholding fluids until the end of the meal is not recommended for clients with dysphagia, as they may need fluids to help with swallowing and to prevent dehydration.

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Correct Answer is A

Explanation

A: The autonomy of the patient is paramount in medical ethics. If the client understands the risks and still refuses the procedure, their choice must be respected. It is a fundamental right for patients to make informed decisions about their own healthcare.

B: While a durable power of attorney for health care is crucial when a patient is incapacitated, it does not override the wishes of a competent patient. As long as the client is capable of making decisions, their consent is required for any procedure.

C: Although religious beliefs are respected, they do not serve as the primary deciding factor if the client is competent. The client's understanding and decision-making capacity are the key determinants in whether to proceed with the surgery.

D: The ethics committee can provide guidance on complex cases, but it cannot make decisions for a competent patient. The committee's role is advisory, and the final decision rests with the patient.

A. “I am not sure how I will pay for all the therapy I will need” B. “I hope I can adjust to using crutches while I am recovering” C. “I just don’t think I can handle looking at my leg” D. “I am worried about taking care of my toddler at home”

Correct Answer is D

Explanation

a. Concerns about paying for therapy may indicate financial worries but do not necessarily suggest a need for occupational therapy specifically.
b. Expressing hope to adjust to using crutches is a common concern for post-amputation clients but does not specifically indicate a need for occupational therapy.
c. Difficulty accepting the appearance of the amputated limb may indicate a need for psychological support or counseling rather than occupational therapy.
d. Concerns about caring for a toddler at home following amputation may involve tasks that require adaptation and assistance, such as mobility, childcare activities, and home safety, which are within the scope of occupational therapy.

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A nurse is supervising 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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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