What is an appropriate technique for the nurse to use to prevent aspiration when assisting a patient with meals?
a. Keep the patient's head back and straight.
b. Offer thin-consistency foods.
c. Provide large amounts of fluids.
d. Have the patient sit up for 30 minutes after eating.
D
Ask the patient to remain sitting upright for at least 30 minutes after the meal to reduce the risk for gastroesophageal reflux, which can cause aspiration. The patient must be sitting upright for passage of food through the pharynx and esophagus. Observe the patient's ability to ingest foods of various textures and thicknesses to indicate whether aspiration risk is increased with thin liquids. Observe the patient with various consistencies of liquids. Difficulty managing certain foods may indicate dysphagia, and referral to a dietitian is appropriate if a patient has difficulty with a particular consistency.
You might also like to view...
A client is undergoing radiation therapy as treatment for lung cancer and has developed esophagitis. Which is the best diet selection for this client?
a. Spaghetti with meat sauce, ice cream b. Scrambled eggs, bacon, toast c. Omelet, whole wheat bread d. Pasta salad, custard, orange juice
The nurse is teaching parents about foods that are hyperallergenic. Which foods should the nurse include?
a. Peanuts b. Bananas c. Potatoes d. Egg noodles e. Tomato juice
The nurse is assessing a baby with a known diagnosis of Tetralogy of Fallot with pulmonary atresia. The nurse should expect which of the following in her assessment of the baby?
1. A VSD murmur 2. Normal growth and development 3. Decreased peripheral pulses 4. Profound cyanosis
An older client is experiencing the greatest problem with the concept of autonomy when he has difficulty:
1. Expressing his need for pain medication 2. Disagreeing with his health care provider 3. Participating in discussions regarding his treatment 4. Discussing his need for assistive living arrangements