Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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Melissa is a 46-year-old office clerk with multiple sclerosis. Her symptoms have been progressing over the years. Melissa is complaining of difficulty of swallowing with occasional episodes of choking every time food particles get caught up in her throat. Which of the following would not be an appropriate strategy to prevent discomfort in swallowing for Melissa?
  1. Allowing ample time eating.
  2. Offering water during meals.
  3. Encouraging her to avoid speaking while eating.
  4. Encouraging her to maintain an upright position during meals.
Explanation
Answer: B - An inappropriate strategy in preventing discomfort in swallowing is offering water to dilute the consistency of the food. Swallowing difficulties are common in clients with advanced stages of multiple sclerosis. Ideally, the nurse should offer soft foods or thick pureed foods to slow down the passage of food, giving the client more control of the flow of food. It also helps when the client is sitting upright and not rushed when eating. Remind the client not to speak while eating to avoid opening of the airway, which could result in aspiration.
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