CRNE Exam Prep

Category - Changes in Health

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A nurse is giving discharge instructions to a client with myasthenia gravis about reducing the risk for aspiration when eating. Which of the following is not included in the teachings?

Encourage the client to sit up when eating.
Instruct the client to cut his food into small pieces.
Instruct the client to tip the chin down to swallow.
Advise the client to lift his head upward when drinking.

Explanation

Answer: D - The client should not lift the head when swallowing or drinking. Lifting the head upward opens the glottis, which increases the risk for aspiration. The other instructions are included in the teaching.

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