Which interventions should the nurse use to reduce the risk of aspiration for an older patient with dysphagia? Select all that apply.
1. Monitor respirations during meals.
2. Maintain an upright position for 1 hour after eating.
3. Raise the head of the bed to a 90 degree angle during meals.
4. Provide pureed solid foods and thin clear liquids during meals.
5. Ensure that one bite has been swallowed before providing another.
1. Monitor respirations during meals.
2. Maintain an upright position for 1 hour after eating.
3. Raise the head of the bed to a 90 degree angle during meals.
5. Ensure that one bite has been swallowed before providing another.
Explanation: 1. An intervention to reduce the risk of aspiration in an older patient with dysphagia is to monitor the patient during meals for a change in respirations. This could indicate that the patient is aspirating food or fluids.
2. An intervention to reduce the risk of aspiration in an older patient with dysphagia is to maintain the patient in an upright position for 1 hour after eating.
3. An intervention to reduce the risk of aspiration in an older patient with dysphagia is to raise the head of the bed to a 90 degree angle during meals.
4. Offer food and liquid consistencies according to the speech pathologist's and dietitian's recommendations. Pureed foods and thin liquids could encourage aspiration.
5. An intervention to reduce the risk of aspiration in an older patient with dysphagia is to ensure that one bite has been swallowed before providing another.
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