Right-sided weakness and facial drooping

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Reference no: EM134016835

Question

John Mays (preferred pronouns: he/him/his) was recently admitted after a stroke. He has right-sided weakness and facial drooping. Click to select appropriate versus inappropriate actions taken by the nurse to prevent aspiration. Appropriate Action Inappropriate Action Use a feeding rate and bite size that matches John's tolerance. Encourage John to clear his throat and cough between bites to avoid the need for suctioning. Encourage John to raise his left hand up if he is having difficulty swallowing or needs to stop. Place John on NPO status if he coughs, gags, or feels he still has food in his throat after swallowing. Ask John to speak between bites to assess for a wet voice. Provide verbal cues to John while he is chewing and swallowing. Obtain a baseline oxygen saturation because a decrease may indicate aspiration. Between bites, look in John's mouth to see if there are pockets of food remaining. Encourage John to look forward and tilt his head slightly up while swallowing. Provide John with only small bites of food and sips of thin liquids between bites.

Reference no: EM134016835

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