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Assessment
Diagnosis
Planning
Intervention
Evaluation
100

List one sign indicating that Ms. Turner is at risk for aspiration 

Coughing or pocketing food

100

True or False: Ms. Turner's age is NOT a risk factor for dysphagia 

False 

100

True or False: Ms. Turner will be able leave the hospital with an oral inection. Is this an appropriate plan? 

False 

100

What is a better head of the bed angle for Ms. Turner during hand feedings? 

90 degrees/High Fowlers

100
How should the nurse evaluate if Ms. Turner is meeting her nutritional goals? Name atleast 1 


Labs, Blood Glucose, Body Weight, General Apperance or Energy Level 

200

What puts Ms. Turner at an increased risk for oral infection?

Dentures

200

List a type of examination that will determine that Ms. Turner is at risk for dsyphagia 

Neurological exam, swallow exam, facial-muscle weakness exam 

200

True or False: Soft foods will help Ms. Turner reach her goal of avoiding aspiration through her hospital stay.

True. 

200

Will you change anything with Ms. Turner's dinner items? How will you make these changes?


Change the grilled chicken, broccoli, and water. 

The patient should be on a soft diet and should be drinking viscous liquids. 

200

Observation of quality dental hygiene/denture care

Ms. Turner is able to reiterate the proper steps for quality oral hygiene care. She also demonstrated proper cleaning and care for her dentures. 

300

What are signs and symptoms indicating that Ms. Turner experienced a stroke? (List at least 2)  

One-sided weakness, slurred speech, or facial drooping 

300

Provide one nursing diagnosis for Ms. Turner 

Risk of aspiration, risk of developing pneumonia, and risk of undernutrition

300

True or False: An appropriate goal for Ms. Turner is to not have signs or symptoms of aspiration by the end of the day. 

True

300
Educate Ms. Turner on atleast two interventions that will help decrease her risk for oral infection?

Use of floride toothpaste, Use of FDA approved mouth wash and/or brushing her teeth/dentures atleast 2 times a day 


300

Ms. Turner does not develop aspiration pneumonia. What interventions got us to acheiveing this goal? Name atleast 3 interventions. 

She remained in High Fowlers while eating and drinking. Provided quality oral hygiene eduaction. Educated on following a soft food diet and drinking viscious fluids. Educated on eating slowly and avoid talking while eating.