Question

A primary health care provider prescribes an oral medication for a client. the nurse identifies that the client is having some difficulty swallowing. what should the nurse plan to do? (select all that apply)

a. crush tablets that are crushable and mix with a small amount of applesauce
b. have the client hyperextend the neck slightly when swallowing
c. give water before, during, and after medication administration
d. stoke under the chin over the larynx
e. have the client use a straw

Answer 1

For a client with swallowing difficulties, a nurse should crush tablets if possible and mix with food, provide water before, during, and after medication, and ensure the client is in an upright position. Techniques to avoid include hyperextending the neck and the use of a straw.

Step-by-step explanation:

When a client has difficulty swallowing medication, a nurse should consider several strategies to assist the client. The nurse should:

• Crush tablets that are crushable and mix them with a small amount of food like applesauce.
• Encourage the client to hold water in their mouth before placing the medication on their tongue, followed by more water to help with swallowing.
• Ensure the client is in an upright position during medication administration, which can make swallowing easier.

Hyperextending the neck can actually make swallowing more difficult, so it should not be encouraged. Stroking under the chin is not a recognized technique for assisting with medication administration. The use of a straw is not typically advised for individuals having difficulty swallowing because it can increase the risk of aspiration.