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concept of nursing 1
Safety Lesson 4
Question | Answer |
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A patient has been recently admitted to the hospital. What indications, if observed, may suggest that the patient has dysphagia (difficulty swallowing)? | -Persistent drooling. -Change in voice after swallowing. -Wet, gurgly voice. |
In the change of shift report, the nurse was told a patient requires "minimal assistance with meals." What should the nurse expect to do for the patient at mealtime? | -Open packages and cartons. -Assist the patient to an upright position. -Ask the patient if he or she needs the nurse to cut up the food or butter the bread. -Document the intake. |
A patient has severe rheumatoid arthritis affecting her hands. What measures can be taken to facilitate optimum nutrition? | -Determine the patient's food preferences. -Provide adaptive utensils (e.g., large handles). -Attach a plate guard to the plate. |
Which of the following are appropriate measures to help the patient with dysphagia to swallow and prevent aspiration? | -Add thickener to thin liquids. -Place food on the unaffected side of the mouth. -Place the patient in the high-Fowler's position. -Provide verbal coaching. |
A hospitalized patient has repeatedly refused her meals. What should the nurse do? | -Determine the patient's food preferences. -Determine whether the patient is in pain. |
What are some examples of "verbal coaching" that can be used when feeding the adult dependent patient who has difficulty swallowing? | -"Open your mouth." -"Raise your tongue to the roof of your mouth." -"Close your mouth and swallow." |