To best assist a patient with dysphagia, the nurse should implement which action(s)? (select all that apply.)
a. Encourage "practice swallowing" before the meal.
b. Coach the patient to chew thoroughly.
c. Assist the patient to sit upright with the head forward and chin tucked.
d. Offer fluid during the meal.
e. Give the patient thin liquids, such as wa-ter.
A, B, C, D
To assist a patient with dysphagia (trouble swallowing), the nurse should encourage practice swallows and visualize the larynx rising. Coaching the patient to chew thoroughly while sitting upright, and offering appropriate liquids are actions that decrease likelihood of aspiration. The nurse should administer thickened liquids.
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A review of a patient's laboratory test results indicates that the patient's serum calcium is 14.8 mg/dL. The nurse determines that which factors may predispose the patient to this condition? (Select all that apply.)
a. Hyperparathyroidism b. Cushing's syndrome c. Osteoporosis d. Use of thiazide diuretics e. Cancer
The nurse teaching a class on osteoarthritis (OA) stresses that this disorder is best described as
a. degeneration of articular cartilage in synovial joints. b. enzymatic breakdown of tissue in non–weight-bearing joints. c. joint destruction caused by an autoimmune process. d. overproduction of synovial fluid, resulting in joint destruction.
Feedings via PEG tube can safely begin ____ hours after PEG tube placement, barring any contraindications
A. 2 hours B. 6 hours C. 24 hours D. 48 hours
Mrs. B has an irrational fear of elevators. In order to go to her testing in radiology, she must travel down floors. She is "partial weight bearing for bathroom privileges only." Your best nursing intervention for her is:
A) Demand that she use the elevator to combat the fear B) Allow her to use the stairs and accompany her C) Offer her a reward for using the elevator D) Deny her pass privileges until she demonstrates ability to use the elevator