ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: A
Rationale:
Correct
Answer: A: Elevate the head of the client's bed to 45° during meals.
Rationale:
1. Elevating the head to 45° helps prevent aspiration by facilitating swallowing and reducing the risk of food or liquid entering the airway.
2. This position promotes safe swallowing by allowing gravity to assist in moving food down the esophagus.
3. It also helps in protecting the client's airway and reducing the chances of choking or aspiration pneumonia.
Summary:
B: Instructing the client to tilt their head back while swallowing can actually increase the risk of aspiration.
C: Providing oral hygiene is important but does not directly reduce the risk of aspiration pneumonia.
D: Turning on the television during meals does not address the risk of aspiration pneumonia.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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