The unlicensed assistive personnel (UAP) is feeding a client with dysphagia. What action would cause the nurse to intervene?
Offering thickened liquids.
Placing client in upright position.
Providing large, frequent bites.
Allowing ample time between choices.
The Correct Answer is C
This action would cause the nurse to intervene because it increases the risk of choking and aspiration for a client with dysphagia, which is difficulty swallowing. The nurse would instruct the UAP to feed the client small amounts of food slowly, allowing time for chewing and swallowing.
Choice A is wrong because offering thickened liquids is a safe practice for a client with dysphagia. Thickened liquids allow for easier swallowing and less choking, thus decreasing the chance of aspiration.
Choice B is wrong because placing the client in an upright position is also a safe practice for a client with dysphagia. This position helps prevent food from entering the airway and facilitates swallowing.
Choice D is wrong because allowing ample time between bites is another safe practice for a client with dysphagia. This helps the client avoid feeling rushed or overwhelmed and reduces the risk of aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A heart murmur is a priority assessment for a toddler who is diagnosed with fetal alcohol syndrome because it may indicate a congenital heart defect, which can affect the child’s growth, development and oxygenation. According to the health search results, fetal alcohol syndrome can cause heart and kidney problems, among other complications.
Choice A is wrong because small head size is a common feature of fetal alcohol syndrome, but it is not a priority assessment. It indicates that the child has microcephaly, which is associated with intellectual and learning disabilities.
Choice B is wrong because poor coordination is another common feature of fetal alcohol syndrome, but it is not a priority assessment. It indicates that the child has problems with motor skills and balance.
Choice C is wrong because speech and language delays are also common features of fetal alcohol syndrome, but they are not a priority assessment. They indicate that the child has problems with communication and social skills.
Correct Answer is B
Explanation
Face the client while speaking and ask them to verify understanding. This intervention would help the client to read the nurse’s lips and confirm the message.
It would also show respect and empathy for the client’s condition.
Choice A is wrong because using exaggerated mouth and hand movements when speaking can be distracting and insulting to the client.
It can also distort the words and make them harder to understand.
Choice C is wrong because standing in front of a light when speaking to the client can create glare and make it difficult for the client to see the nurse’s face.
Touching the client to be sure they know where you are can be startling and unnecessary if the client is not visually impaired.
Choice D is wrong because obtaining an interpreter for sign language is inappropriate unless the client knows sign language.
Not all hearing-impaired clients use sign language, and some may prefer other methods of communication.
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