A client is being discharged home with a tracheostomy. Which action does the nurse teach the client to decrease the risk for aspiration while eating?
a. Swallow quickly.
b. Thicken all liquids.
c. Rinse all food with water.
d. Chew food completely.
B
Thickening liquids may assist the client in swallowing and may help prevent aspiration. Swallowing quickly will not decrease the risk of aspiration and may actually put the client at greater risk. It is not recommended that the client drink water to wash down food. Chewing food completely will help prevent choking but will not decrease aspiration risk.
You might also like to view...
The nurse observes a loop of bowel protruding from the surgical incision. What is the first intervention the nurse should implement?
a. Call the RN b. Cover the bowel with a sterile saline dressing c. Turn the patient to the side of the evisceration d. Raise the patient up to a high Fowler position
A client, who is recovering from a severe myocardial infarction, was moved from the cardiac
intensive care unit to the cardiac step-down unit. He tells the new nurse "I will be fine once I get home. None of that 'watch your cholesterol, watch your calories, watch your stress' stuff is for me. Nobody has mentioned it, so it will be business as usual.". Which nursing diagnosis should the nurse consider adding to the client's care plan? a. Fear related to unknown aspects of hospitalization b. Deficient knowledge related to new diagnosis of myocardial infarction c. Health-seeking behaviors related to desire to seek a higher level of wellness d. Powerlessness related to unmet need to remain in control
When developing goals, which guideline should the nurse keep in mind? Goals should be:
1) Realistic so that progress is recognized by the patient 2) Developed solely by the healthcare team 3) Developed without family input, to maintain confidentiality 4) Valued by the multidisciplinary care providers
The nurse is checking a patient's blood pressure before administering an antihypertensive, and gets a reading of 88/52 mm Hg. What is the nurse's best action?
a. Give the patient a cup of coffee and retake the blood pressure in 30 minutes. b. Document the finding as the only action and administer the drug as usual. c. Raise the side rails and apply oxygen by mask or nasal cannula. d. Hold the dose and notify the prescriber.