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Author Question: Before assisting the client with feeding, the nurse should be sure to: A. Assess the client's gag ... (Read 38 times)

jc611

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on: Jul 24, 2018
Before assisting the client with feeding, the nurse should be sure to:
 
  A. Assess the client's gag reflex
  B. Prepare the room and remove unpleasant smells
  C. Assist the client with elimination needs
  D. Assist the client with oral hygiene

Question 2

A patient using a nasal cannula has gurgling on inspiration. The nurse notes a productive cough but the inability to clear the secretions from the mouth. Which action should the nurse take first to prepare for oropharyngeal suctioning?
 
  a. Apply clean gloves and a mask.
  b. Insert the suction device to the back of the throat.
  c. Remove the patient's nasal cannula.
  d. Connect the tubing to a standard suction catheter.


vseab

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Reply #1 on: Jul 24, 2018
Answer to Question 1

A
A. Assess client's ability to swallow and gag reflex.
B. Step 2a, b. Prepare client's room by clearing over-bed table, setting up chair, and placing bed in upright back position.
C. Step 3a. Assist client with elimination needs before meal.
D. Step 3c. Assist client with mouth care in case of dysphagia. Client may benefit from clear water rinsing, which improves taste and increases appetite.

Answer to Question 2

A
Perform hand hygiene and apply clean gloves. Apply a mask or face shield if splashing is likely. Insert the device into the mouth along the gum line to the pharynx. Remove the patient's oxygen mask, if present. A nasal cannula may remain in place. Connect one end of the connecting tubing to the suction machine and the other to a Yankauer suction catheter.


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