Author Question: A patient has recently suffered a stroke with left-sided weakness. She has problems with choking, ... (Read 31 times)

KWilfred · **on:** Jul 11, 2018

A patient has recently suffered a stroke with left-sided weakness. She has problems with choking, especially when she drinks thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely?

a. Having her avoid all liquids
b. Instructing her to tuck her chin when swallowing
c. Giving her sips of water with each bite
d. Having her turn her head to the left

Question 2

The husband of a 78-year-old postsurgical patient has approached the nurse, upset that his wife has become incontinent of urine during her hospital stay.

The husband states that this is without precedent and he is adamant that the matter be looked into further. The nurse would recognize that which of the following factors may have contributed to this course of events? A) Age-related changes to genitourinary function
B) Sensory deprivation
C) Changes in diet since admission to the hospital
D) Sedative effects of medications

lorealeza · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
The patient should sit at a 90-degree angle with the head up and chin slightly tucked.

Answer to Question 2

D
Feedback:
Sedation can cause incontinence in the hospitalized elderly. The sudden onset makes it unlikely that the wife's incontinence is a result of age-related changes and a change in diet is unlikely to cause incontinence. Sensory deprivation would be less likely to result in incontinence.