The nurse is caring for a client who had a stroke several years ago. The client has indicators of being malnourished. The nurse would assess the client for which of the following?
a. Ability to throw the head back to propel the food
b. Embarrassment and frustration over trouble eating
c. Inability of the bowel to absorb nutrients
d. Positioning the head with a sideways' tilt
B
In general, the dysphagic client is taught not to throw the head back to propel the food to the back of the mouth, as this can cause aspiration. The bowel's ability to absorb nutrients is not disrupted by a stroke. Clients should usually hold the head in a midline position with the neck slightly flexed forward. Clients with dysphagia are often embarrassed and frustrated by their eating and swallowing problems and often avoid eating.
You might also like to view...
Teamwork is critical in the healthcare system today because:
1. health maintenance organizations and insurance companies require teamwork. 2. teams can address the diversity in care, as well as plan and process additional needs. 3. teamwork is required by the Nurse Practice Act. 4. teams are required by most healthcare regulatory agencies.
A 78-year-old female patient is admitted to a medical-surgical unit with left lower extremity pain and discoloration. The patient's laboratory values are: hemoglobin 12 g/100 mL, hematocrit 37%, glucose 110 mg/dL, potassium 6.5 mEq/L, BUN 60 mg/dL, and creatinine 3.2 mg/dL. Which statement by the nurse represents a clear understanding of this patient's pain management needs?
1. "This patient may need more pain medication because of anemia." 2. "This patient may need less pain medication because of acute renal failure." 3. "This patient may need less pain medication because of diabetes mellitus." 4. "This patient will need potassium replacement before pain treatment begins."
A member of a community disaster response team received a smallpox vaccine 4 weeks ago. The nurse should expect to see a:
a. necrotic vesicle. b. small scar. c. small blister. d. large pustule.
A nurse assesses a community of older adults. Which of the following persons is at highest risk for a shortened life expectancy?
A) A college professor born in 1956 B) A homemaker born in 1957 C) A nuclear engineer born in 1958 D) A nurse born in 1959