A client 86 years of age with a diagnosis of late-stage ...

[nmorano1]

A client 86 years of age with a diagnosis of late-stage Alzheimer's disease requires full assistance with transfers to and from his bed. Which of the following nursing actions is most likely to promote safe handling of this client?
 
  A) Provide to the client brief, clear instructions that are phrased positively.
  B) Post written instructions at the client's bedside to supplement spoken instructions.
  C) Ask for the client's input on the timing and technique for transfers.
  D) Ask for the client's feedback frequently during transfers.

Question 2

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?
 
  A) Fowler's
  B) Low-Fowler's
  C) Protective supine
  D) Semi-Fowler's

[ciecieme]

Answer to Question 1

Ans: A
When handling clients who have dementia, clear, short instructions are most effective. These instructions should be phrased positively (stand up rather than don't sit down). For a client with an advanced state of dementia, asking for feedback during transfers, and input on planning transfers is likely to be ineffective and may be frustrating for both the client and the nurse.

Answer to Question 2

Ans: A
Fowler's position optimizes cardiac function and respiratory function in addition to being the best position for eating. The client's risk of aspiration would be extreme in a supine position. Low-Fowler's and semi-Fowler's are synonymous, and this position does not aid swallowing as much as a high-Fowler's position.

[nmorano1]

Both answers were spot on, thank you once again

[ciecieme]

Great! Please up vote