Author Question: The client's ability to swallow is best determined at the bedside by the nurse's: A. Observing ... (Read 31 times)

drink · **on:** Jul 24, 2018

The client's ability to swallow is best determined at the bedside by the nurse's:

A. Observing the intake of solid foods
B. Asking the client to swallow small sips of water
C. Asking the client to swallow and observing the action
D. Placing the thumb and index finger on the sides of the Adam's apple and feeling for an elevation

Question 2

When teaching about the procedure for capillary puncture, a nurse instructs a client to:

A. Hold the finger upright
B. Use the central tip of the finger
C. Allow the alcohol to dry completely
D. Vigorously squeeze the end of the finger

voltaire123 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
D. Feeling the client's Adam's apple for movement and symmetry is the best bedside technique for assessment of dysphagia.
A. Observing the intake of solid foods reveals some information about the client's ability to swallow but is not the best bedside assessment technique.
B. Observing the client swallow water reveals some information about the client's ability to swallow but is not the best bedside assessment technique.
C. Observing the client swallow reveals some information about the client's ability to swallow but is not the best bedside assessment technique.

Answer to Question 2

C
C. Allowing alcohol to dry completes its antimicrobial task and reduces sting of venipuncture. Alcohol left on skin can cause hemolysis of sample.
A. Hold finger to be punctured in dependent position while gently massaging finger toward puncture site to increase blood flow to area before puncture.
B. Select lateral side of finger; be sure to avoid the central top of finger which has more dense nerve supply.
D. Gently massage finger toward puncture site to increase blood flow to area before puncture.