The client who has had a stroke is having difficulty swallowing. What technique should the nurse use to evaluate the client's swallowing reflex?
A. Place a tongue blade against the client's soft palate.
B. Ask the client to sip a glass of water while the nurse observes the elevation of the larynx.
C. Ask the client to take a sip of water and hold it in the mouth for 20 seconds be-fore swallowing.
D. Place the thumb and the index finger on the side of the Adam's apple and ask the client to swallow.
D
The proper technique for assessing the swallowing reflex is to place the thumb and the index finger on the side of the Adam's apple and ask the client to swallow. The nurse should be able to feel the elevation of the larynx.
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1. Carefully question the client's family to prevent aggravating this symptom. 2. Observe the client's behavior to determine how the client expresses this symptom. 3. Consult the physician regarding how best to evaluate this symptom. 4. Obtain a profile of the client's cultural norms on which to interpret this symptom.
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A nurse recalls fibrous joints generally are:
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