Author Question: A client who is having trouble swallowing food because the pieces are too large asks the nurse what ... (Read 74 times)

sjones · **on:** Jun 25, 2018

A client who is having trouble swallowing food because the pieces are too large asks the nurse what can help, as there is a fear of choking. The nurse should instruct the client that:

1. thorough chewing helps prevent choking.
2. the client should cut food into larger pieces.
3. drinking fluids during swallowing prevents choking.
4. eating smaller meals will help.

Question 2

A client is diagnosed with pernicious anemia. What should the nurse instruct is needed to absorb vitamin B12?

1. Hydrochloric acid
2. Chyme
3. Enzymes
4. Intrinsic factor

jaykayy05 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1

1. Thorough chewing stimulates the release of saliva, makes food easier to swallow, and makes the food easier to digest because digestion begins in the mouth.
2. Cutting the food into larger pieces will not stop choking.
3. If food is chewed properly, it is thinned with saliva, and should decrease the risk of choking. Drinking fluids with larger food particles will not reduce the risk of choking.
4. Eating smaller pieces and chewing thoroughly will help reduce the risk of choking.

Answer to Question 2

Answer: 4

1. Hydrochloric acid is produced by parietal cells in the stomach and aids in mechanical digestion of foods.
2. Chyme is the result of the mixing of food with the gastric juices.
3. Enzymes are secreted in the pancreas and enter into the small intestine.
4. In order for vitamin B12 to be absorbed, the parietal cells of the stomach must produce intrinsic factor.