When caring for a patient with the nursing diagnosis of impaired swallowing related to neuromuscular impairment, the nurse should:
A) Position the patient in a supine position.
B) Elevate the head of the bed 90 degrees during meals.
C) Encourage the patient to remove dentures.
D) Encourage thin liquids for dietary intake.
Ans: B
Feedback: The head of the bed must be elevated while the patient is eating. The patient should be placed in a recumbent position, not a supine position, when lying down to reduce the risk of aspiration. Encourage the patient to wear properly fitted dentures to enhance his chewing ability. Thickened liquids, not thin liquids, decrease aspiration risk.
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Identify the appropriate weight gain at 28 weeks' gestation for a client with a normal BMI (body mass index) before pregnancy
a. 10 pounds b. 19 pounds c. 25 pounds d. 30 pounds
Nurses who are respectful communicators, sensitive to others, and willing to treat others with dignity will be creating and sustaining environments that are safe for everyone
Indicate whether this statement is true or false.
The nurse is working with an infant who has trisomy 21 and an atrioventricular septal defect (AVC). The father asks the nurse about the percentage of children with Down syndrome who have atrioventricular septal defects
Which of the following is the nurse's best explanation? a. "Atrioventricular septal defects are very rare in children with Down syndrome because they usually occur without any other congenital anomalies." b. "About 50% of children with Down syndrome have some congenital heart defect, and many of these are associated with some degree of atrioventricular septal defect." c. "Less than 3% of children with Down syndrome will have an associated heart defect." d. "Approximately 90% of the children who are born with Down syndrome have atrioventricular septal defects."