The nurse plans the care of the older adult with dysphagia. Which of the following is the priority initial nursing intervention?
A) Thicken the liquids
B) Weigh the patient daily
C) Observe the patient's food intake
D) Offer the patient verbal cues when eating
C
Feedback:
Assessment and observation assist in diagnosing nature of the dysphagia. The other cited actions are appropriate but would be secondary to assessment through observation of the related symptoms, types of foods, and timing.
You might also like to view...
Parents demonstrate that they understand the teaching a nurse has done with regard to care of their child with tinea capitis if they make which statement?
1. "We will give the griseofulvin on an empty stomach.". 2. "We're glad ringworm isn't transmitted from person to person.". 3. "Once the lesion is gone, we can stop the griseofulvin.". 4. "We will give the griseofulvin with milk or peanut butter.".
The nurse has defined the hypothesis as, "There will be no difference in the number of adverse events among patients discharged two days after an abdominal hysterectomy compared with patients discharged 4 days after an abdominal hysterectomy."
This statement is an example of what? a. Directional hypothesis b. Nondirectional hypothesis c. Research hypothesis d. Null hypothesis
The nurse caring for a patient who is taking amiodarone (Cordarone) will plan to assess the vital signs carefully for which common side effect?
a. Sudden increase in temperature b. Hypotension c. Bradycardia d. Depressed ventilation
The nurse applies a warm moist compress to the client's left wrist. Which item should the nurse exclude from the documentation of the intervention for this client?
1. Assessment of site before and after the application 2. Client's response to the compress 3. Assessment of the site every 5–10 minutes 4. Vital signs before, during, and after the treatment