A nurse teaches a client who has open vocal cord paralysis. Which technique should the nurse teach the client 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 swallowing.
d. Keep the head very still and straight while swallowing.
ANS: 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.
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