A patient with a neurological disease has difficulty swallowing. Which should the nurse include in the plan of care?
a. Limit oral intake to clear liquids.
b. Allow adequate time for the feeding.
c. Ask family members to coach the patient.
d. Maintain low-Fowler's position for meals.
B
The nurse plans an adequate amount of time for patient feeding to address complications from impaired swallowing. With nursing supervision and encouragement and in a relaxed manner, the food is prepared properly; the patient chews food thoroughly, swallows as necessary, and takes short breaks while feeding. Clear liquids may be contraindicated for the patient. Thickener may need to be added, depending on the patient's status. Family coaching may pressure, misdirect, or shame the patient; increase the risk of aspiration or choking; and decrease the patient's appetite. Low-Fowler's position is contraindicated for swallowing difficulties and feeding because an upright position facilitates swallowing.
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A nurse is trying to decrease the risk for depression among older adults. Which of the following interventions should the nurse implement?
a. Encourage moving to a nursing home where others of the same age reside. b. Monitor for signs and symptoms of depression. c. Organize an exercise and health promotion program at the local senior citizen center. d. Teach older clients to focus on their strengths rather than their weaknesses.
Which statements regarding the term myelodysplasia are true?
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