The patient with impaired swallowing begins to choke while eating. Which action should the nurse implement?
a. Suction the airway until clear.
b. Turn the patient to a prone position.
c. Leave the room to get assistance.
d. Instruct the patient to take deep breaths.
A
The nurse suctions the oropharynx of a patient with dysphagia who chokes while eating to main-tain the airway, the highest priority on the patient's hierarchy of needs. A positioning change is not indicated unless the patient starts to vomit or becomes unresponsive; then the nurse places the patient in the recovery position. The nurse should not leave the patient until the choking is resolved and the patient is stabilized. The patient should not take deep breaths, which may draw in food and aggravate choking.
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