A patient has recently suffered a stroke with left-sided weakness. She has problems with choking, especially when she drinks thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely?
a. Having her avoid all liquids
b. Instructing her to tuck her chin when swallowing
c. Giving her sips of water with each bite
d. Having her turn her head to the left
B
The patient should sit at a 90-degree angle with the head up and chin slightly tucked.
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A nurse takes a dinner tray to a patient who has been pacing and preoccupied. The patient suddenly places his butter knife against his throat and demands that everyone stay back
Which of the following considerations should be kept in mind in responding to this situation? Select all that apply. a. Maintaining and conveying a sense of calm confidence helps calm the patient. b. The patient will require restraint because he has presented a danger to self. c. In that the patient is not in control, the nurse should control what happens. d. Determine what the patient considers to be his need, to be important to him. e. Ask the patient for ideas about what he thinks would help resolve the crisis. f. Tell the patient that your goal is that everyone remains safe while you talk.
What is an important consideration in preventing injuries during middle childhood?
a. Achieving social acceptance is a primary objective. b. The incidence of injuries in girls is significantly higher than it is in boys. c. Injuries from burns are the highest at this age because of fascination with fire. d. Lack of muscular coordination and control results in an increased incidence of injuries.
A nurse is working with a group of refugees who recently arrived in the United States after suffering terrible violence in their country. The nurse knows that they should be assessed for
A. Communicable diseases B. Injuries related to torture or sexual assault C. Mental illness such as PTSD D. All of the above
The nurse assesses a bed-bound resident, a reddened area over the coccyx that does not blanch is discovered. Which is the best intervention to prevent further skin damage?
a. Cover the site with a transparent film dressing. b. Apply warm compresses each shift. c. Turn the patient every 2 hours. d. Continue to monitor the area.