The nurse is assisting a client with indirect techniques to improve swallowing. Which of the following are techniques included in the nurse's assistance? (Select all that apply.)
1. Tongue mobility exercises
2. Application of ice
3. Repetitive head lift exercises
4. Positioning
5. Range-of-motion exercises for the neck
6. Range-of-motion exercises for the shoulders
1, 2, 3
Indirect techniques to improve swallowing include tongue mobility exercises, application of ice, and repetitive head lift exercises. Positioning is a compensatory mechanism. Range-of-motion exercises for the neck or shoulders does not help improve swallowing.
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The nurse is attempting to assess the femoral pulse in a patient who is obese. Which of these actions would be most appropriate?
a. The patient is asked to assume a prone position. b. The patient is asked to bend his or her knees to the side in a froglike position. c. The nurse firmly presses against the bone with the patient in a semi-Fowler position. d. The nurse listens with a stethoscope for pulsations; palpating the pulse in an obese person is extremely difficult.
A client is seeing a psychotherapist for treatment of arachnophobia. Her therapist begins a program of systematic desensitization. Which interventions would be included in this behavior-modification technique? Select all that apply
A) Breathing exercises B) Use of a 1-hour audiotape that describes being in a room full of spiders C) A visit to an insect zoo with the psychotherapist D) Self-paced computer program presenting progressively more anxiety-producing scenarios regarding spiders
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
1. The divorced parent without custody 2. A cohabitating unmarried boyfriend of the child's mother 3. A grandparent who lives in the home with the child 4. A babysitter with written proxy consent
An elderly patient has come in to the clinic for her twice-yearly physical. The patient tells the nurse that she is generally enjoying good health, but that she has been having occasional episodes of constipation over the past 6 months
What intervention should the nurse first suggest? A) Reduce the amount of stress she currently experiences. B) Increase carbohydrate intake and reduce protein intake. C) Take herbal laxatives, such as senna, each night at bedtime. D) Increase daily intake of water.