Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
Client has dysphagiaA charge nurse is observing a licensed practical nurse assist a client who has dysphagia while eating. Which of the following actions by the LPN should the charge nurse identify as providing safe care?
Correct answer
A
Rationale
The correct answer is A: Places food on the stronger side of the client's mouth. This is the correct action because it helps prevent aspiration in clients with dysphagia by directing food towards the stronger side for more effective swallowing. Placing food on the weaker side can lead to difficulty in swallowing and increase the risk of aspiration.
Choice B is incorrect because positioning the client at a 30-degree angle is helpful for preventing aspiration during feeding but is not directly related to addressing dysphagia.
Choice C is incorrect as hyperextending the neck during swallowing can actually increase the risk of aspiration in clients with dysphagia.
Choice D is incorrect because although sitting upright post-meal for 20 minutes can aid digestion and reduce reflux, it is not directly related to managing dysphagia.
In summary, placing food on the stronger side of the client's mouth is the safest option to prevent aspiration in clients with dysphagia, making it the correct choice.
Choice B is incorrect because positioning the client at a 30-degree angle is helpful for preventing aspiration during feeding but is not directly related to addressing dysphagia.
Choice C is incorrect as hyperextending the neck during swallowing can actually increase the risk of aspiration in clients with dysphagia.
Choice D is incorrect because although sitting upright post-meal for 20 minutes can aid digestion and reduce reflux, it is not directly related to managing dysphagia.
In summary, placing food on the stronger side of the client's mouth is the safest option to prevent aspiration in clients with dysphagia, making it the correct choice.