The nurse is caring for a client with dysphagia. Which intervention would be contraindicated while caring for this client?
Assisting the client with meals
Placing food on the affected side of the mouth
Testing the gag reflex before offering food or fluids
Allowing ample time to eat
The Correct Answer is B
A. Assisting the client with meals: Assisting the client with meals is appropriate, as clients with dysphagia may need help to ensure safe swallowing and to avoid choking or aspiration.
B. Placing food on the affected side of the mouth: This is contraindicated because placing food on the affected side could increase the risk of choking or aspiration, as the client may not have adequate control over swallowing on the affected side.
C. Testing the gag reflex before offering food or fluids: Testing the gag reflex is appropriate for ensuring that the client has an intact protective reflex before eating or drinking, reducing the risk of aspiration.
D. Allowing ample time to eat: Allowing the client ample time to eat is important to prevent rushing, which could increase the risk of choking or aspiration. It ensures that the client can safely swallow their food.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dental procedures: Fear of dental procedures is more indicative of a specific phobia, not social phobia.
B. Meeting strangers: Social phobia (social anxiety disorder) involves intense fear and anxiety in social situations where one might be judged, embarrassed, or scrutinized by others. Meeting strangers is a common fear for those with social phobia.
C. Being bitten by a dog: This is more consistent with a specific phobia related to animals, not social phobia.
D. Having a car accident: Fear of car accidents is not typically related to social phobia but could be linked to a specific or generalized anxiety disorder.
Correct Answer is C
Explanation
A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.
B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.
C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.
D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.
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