An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?
a. Chin parallel
b. Chin upward
c. Chin down
d. Chin to the side
ANS: C
The upright position, leaning slightly forward with the chin down, improves swallowing with the assistance of gravity.
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A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor. What would be appropriate goals for the nursing diagnosis of ineffective airway clearance?
Select all that apply. A) Minimize accumulation of fluid. B) Participation in care by the client C) Maintain a patent airway. D) Maintain current weight. E) Express feelings and concerns.
A client presents at the health care provider's office with complaints of a bulls-eye rash on his upper leg. Which question should the nurse ask first?
1. "Do you have any cats in your home?" 2. "Have you been camping in the last month?" 3. "Have you or close contacts had any flu-like symptoms within the last few weeks?" 4."Have you been in physical contact with anyone who has the same type of rash?"
The nurse assessing a client for suicide potential will be most effective if she recognizes that the
cognitive style that places a client at increased risk is a. being flexible and interested in exploring alternatives. b. demonstrating tunnel vision thinking and perfectionism. c. demonstrating distractible, scattered thinking. d. The presence of strong religious beliefs.
When a child broke her favorite doll during a hospitalization, her primary nurse bought the child a new doll and gave it to her the next day. What is the best interpretation of the nurse's behavior?
a. The nurse is displaying signs of overinvolvement. b. The nurse is a kind and generous person. c. The nurse feels a special closeness to the child. d. The nurse wants to make the child happy.