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Sbermudez Sbermudez
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6 years ago
The nurse identifies the diagnosis Risk for aspiration, related to neuromuscular dysfunction for a client who experienced a cerebrovascular accident. Which intervention should the nurse identify as including a rationale?
 
  1. Have suction equipment available at all times.
  2. Clear secretions from oral/nasal passageways as needed.
  3. Keep client in low-Fowler's position to prevent reflux.
  4. Provide frequent assessment for presence of obstructive material in mouth and throat.
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BokoBoko
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6 years ago
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