A client, with a nursing diagnosis of Impaired Swallowing, ...

[jilianpiloj]

A client, with a nursing diagnosis of Impaired Swallowing, complains of frequent heartburn. Which action by the nurse is the most appropriate?
 
  A) Teach the client the chin tuck technique when swallowing.
  B) Assist the client to a 90  sitting position, or as high as tolerated, during meals.
  C) Check the client's mouth for pocketing of food.
  D) Assist the client in maintaining a sitting position for 30 minutes after the meal.

Question 2

An older adult client is diagnosed with a left cerebral hemorrhage. To meet the needs of the client and family, the nurse will provide teaching in which areas?
 
  Select all that apply.
  A) Time adjustment to complete activities
  B) How to use a sign board
  C) Nutrition support
  D) Transfer techniques
  E) Information about impulse control

[ASDFGJLO]

Answer to Question 1

Answer: D

Keeping the client upright for a time after the meal will help prevent food from being regurgitated back into the esophagus. The position of the client during the meals as well as teaching the chin tuck technique will assist with the swallowing mechanism but will not help with regurgitation. Pocketing food does not cause regurgitation.

Answer to Question 2

Answer: A, B, D

The left cerebral hemisphere is responsible for the language center, calculation skills, and thinking/reasoning abilities. Reading and speaking could be compromised if there is left-sided brain damage. The client also might display over-cautious behavior and might be slow to respond or complete activities. Transfer techniques would apply regardless of the side involved. Impulse control problems can arise with right-sided involvement. Nutritional support may or may not be an issue with this client.

[jilianpiloj]

TYSM

[juliaf]

Gracias!