Samuel merrit University, hesi med surg
Samuel merrit University, hesi med surg ( 45 Questions)
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration.
Which action by the UAP should the nurse recognize indicates the need for additional teaching?
Choice A is not correct because placing food on the unaffected side of the mouth is an appropriate action when feeding a client with a CVA.
When feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration, the head of the bed should be elevated 45 to 90 degrees to prevent aspiration1.
Therefore, if the UAP raises the head of the bed to only 80 degrees, it indicates the need for additional teaching.
Choice C is not correct because positioning the head with the chin tilted slightly downward can help prevent aspiration.
Choice D is not correct because allowing 30 minutes of rest before feeding can help improve digestion and reduce the risk of aspiration.
When feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration, the head of the bed should be elevated 45 to 90 degrees to prevent aspiration1.
Therefore, if the UAP raises the head of the bed to only 80 degrees, it indicates the need for additional teaching.
Choice A is not correct because placing food on the unaffected side of the mouth is an appropriate action when feeding a client with a CVA.
Choice C is not correct because positioning the head with the chin tilted slightly downward can help prevent aspiration.
Choice D is not correct because allowing 30 minutes of rest before feeding can help improve digestion and reduce the risk of aspiration.