A nurse teaches a client who has open vocal cord paralysis. Which ...

[magmichele12]

A nurse teaches a client who has open vocal cord paralysis. Which technique should the nurse teach the client to prevent aspiration?
 
  a. Tilt the head back as far as possible when swallowing.
  b. Tuck the chin down when swallowing.
  c. Breathe slowly and deeply while swallowing.
  d. Keep the head very still and straight while swallowing.

Question 2

After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the client's understanding. Which statement indicates the client needs further teaching?
 
  a. I will stay away from smokers to minimize inhalation of secondhand smoke.
  b. When I speak, I will whisper rather than use a normal tone of voice.
  c. For the next several weeks, I will not lift more than 10 pounds.
  d. I will drink at least three quarts of water each day to stay hydrated.

[duke02]

Answer to Question 1

ANS: B
The client with open vocal cord paralysis may aspirate. The nurse should teach the client to tuck in his or her chin during swallowing to prevent aspiration. Tilting the head back would increase the chance of aspiration. Breathing slowly would not decrease the risk of aspiration, but holding the breath would. Keeping the head still and straight would not decrease the risk for aspiration.

Answer to Question 2

ANS: B
Treatment for vocal cord polyps includes no speaking, no lifting, and no smoking. The client has to be educated not to even whisper when resting the voice. It is also appropriate for the client to stay out of rooms where people are smoking, to stay hydrated, and to use stool softeners.