A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

Have the patient swallow twice after each bite.

Place the patient in a semi-Fowler position.

Provide clear liquids only until the patient can swallow solid foods.

Check the patient's mouth for pocketing of food.

Encourage the use of a straw for liquids.

Place food on the unaffected side of the patient's mouth.

Answer and Explanation

Correct Answer : A,D,F

A. Have the patient swallow twice after each bite: This can help clear any residual food from the mouth and reduce the risk of aspiration.
B. Place the patient in a semi-Fowler position: This position is not ideal for preventing aspiration. The patient should be in an upright, high Fowler’s position to minimize the risk.
C. Provide clear liquids only until the patient can swallow solid foods: Clear liquids can actually be more difficult to control in the mouth and throat than thicker liquids and may increase the risk of aspiration.
D. Check the patient's mouth for pocketing of food: Ensuring that no food is left in the mouth can help prevent aspiration after the patient has finished eating.
E. Encourage the use of a straw for liquids: Using a straw can increase the risk of aspiration because it delivers liquids quickly and may overwhelm the swallowing mechanism, especially in patients with dysphagia.
F. Place food on the unaffected side of the patient's mouth: This helps ensure that the stronger side of the mouth and throat manages the food, reducing the risk of aspiration.

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Correct Answer is ["A","B","D"]

Explanation

A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.

A. Cigarette smoking B. Physical inactivity C. Family history of stroke D. Obesity E. Age

Correct Answer is ["A","B","D"]

Explanation

A. Cigarette smoking: This is correct. Smoking is a significant modifiable risk factor for stroke because it contributes to atherosclerosis and other cardiovascular issues.
B. Physical inactivity: This is correct. Regular physical activity reduces the risk of stroke by improving cardiovascular health and reducing other risk factors such as hypertension and obesity.
C. Family history of stroke: This is not modifiable. While family history increases risk, it cannot be changed. However, knowing this risk can prompt proactive management of modifiable factors.
D. Obesity: This is correct. Obesity is a modifiable risk factor for stroke because it is associated with other risks such as hypertension, diabetes, and hyperlipidemia. Weight loss and healthy lifestyle changes can reduce stroke risk.
E. Age: This is not modifiable. While older age increases stroke risk, it is a factor that cannot be changed.

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A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find in the patient's plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

Which risk factors would be considered modifiable in the prevention of stroke? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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