Practice Question
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?
Answer Choices:
Correct Answer:
Raises the head of the bed to 60 degrees.
Rationale:
🔷 A client at risk for aspiration (e.g., post-stroke) should be positioned in high Fowler’s (75–90°) during feeding to maximize gravity assistance in swallowing and reduce aspiration risk.
🔷 A 60° elevation is insufficient, as it does not adequately protect the airway, especially in clients with impaired swallowing or gag reflex.
🔷 Teaching the UAP about correct positioning supports safe feeding practices and protects the client from complications such as aspiration pneumonia
Want to practice more questions like this?
This question is from WGU-Hesi~RN Fundamentals of Nursing which contains 56 questions.
More Questions from This Exam
Which client assessment should the nurse perform during nasopharyngeal suctioning?
Answer Choices:
After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?
Answer Choices:
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain.Which intervention should the nurse implement first?
Answer Choices:
The nurse is teaching a client about the use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?
Answer Choices:
A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer.The client is suspected to have a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurseinclude in the plan of care?Select all that apply.
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Fundamentals of Nursing
- Answer Choices: 4