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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

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This question is from WGU-Hesi~RN Fundamentals of Nursing which contains 56 questions.

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From Exam
WGU-Hesi~RN Fundamentals of Nursing

56 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: Hesi Fundamentals of Nursing
  • Answer Choices: 4
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