A client has open vocal cord paralysis. Which technique does the nurse teach the client to do to prevent aspiration?
a. Tilt the head back as far as possible when swallowing.
b. Tuck the chin down when swallowing.
c. Breathe slowly and deeply while swal-lowing.
d. Keep the head very still and straight while swallowing.
B
The client with open vocal cord paralysis may aspirate. The nurse should teach the client to tuck in his or her chin during swallowing to prevent aspiration. Tilting the head back would increase the chance of aspiration. Breathing slowly would not decrease the risk of aspiration, but holding the breath would. Keeping the head still and straight would not decrease the risk for aspiration.
You might also like to view...
The nurse would anticipate the use of hypertonic IV solutions for which of the following clients?
1. The client in diabetic ketoacidosis 2. The client with chronic renal failure 3. The client with congestive heart failure 4. The client with hypotension
A client with an active history of bulimia nervosa is being evaluated for anemia. Which is the most likely cause for this finding?
A) Petechial hemorrhage of the conjunctiva B) Pharyngeal irritation and erosion C) Overuse of diuretics D) Swollen parotid glands
When taking a health history on a patient with musculoskeletal dysfunction what would the nurse include?
A) Evaluation of the effects of the musculoskeletal disorder on the patient B) Evaluation of where patient is at in treatment plan C) Evaluation patient's abilities D) Evaluation of patient's ability to process information
Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
a. maintain the normal assessment routine. b. administer O2 at 8 to 10 L/min by face mask. c. increase the IV flow rate from 125 to 150 mL/hr. d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg.