Which intervention would be included when developing a care plan to deduce the risk for injury for a patient with dysphagia who requires feeding assistance? Select all that apply
a. Elevate bed to 90 degrees when feeding either solids or liquids
b. If facial weakness is present, place food on the non-impaired side of the mouth
c. Provide fluids when feeding of solids is complete
d. Monitor the individual's temperature frequently
e. If feeding causes agitation, introduce food after sedative medication is administered
ANS: A, B, D
The correct options reflect appropriate care to facilitate swallowing and monitor for possible aspiration pneumonia. The introduction of solids and liquids should be alternated during the feeding and feeding should not occur when the client is experiencing medication-induced sedation since the cough reflex and swallowing abilities are impaired by the medication.
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An older adult woman who is incontinent of stool following a cerebrovascular accident will have which of the following nursing diagnoses?
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