NMNC 3135 Principle Of Nursing Practice #5
Questions And Answers
When you breathe, air enters your mouth and pharynx. From there, it travels to your lungs. Normally, a
flap called the epiglottis blocks food particles and liquid from going into your lungs. If something does
enter your lungs, it's called (inspiration, expiration, aspiration). Aspiration can lead to (thrombosis or
pneumonia) and other complications.
aspiration, pneumonia
Know signs of dysphagia (difficulty swallowing):
-cough
-change in voice tone or quality after swallowing
-delayed swallowing
-incomplete oral clearance
-pocketing of food, regurgitation
Assess the patient's ability to swallow and cough by checking for the presence of (gag reflex or patency of
throat) and then offering (50 mL of water in 5-mL allotments or 50 mL of hot water in 5-mL allotments).
Stop if a patient begins to cough.
gag reflex
50 mL of water in 5-mL allotments
Dysphagia screening:
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
during/after a swallow; facial or tongue weakness; palatal movement; difficulty with secretions;
pocketing; choking; and a spontaneous dry cough
or
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
, during/after a swallow; facial or neck wrinkles; ear movement; difficulty with secretions; pick-pocketing;
choking; and a spontaneous wet cough
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
during/after a swallow; facial or tongue weakness; palatal movement; difficulty with secretions;
pocketing; choking; and a spontaneous dry cough
Name the dysphagia screening tests:
the Westside Swallowing Assessment, Burkely Dysphagia Screening Test, Acute Stroke Dysphagia
Screen, and Standford Swallowing Assessment
or
the Bedside Swallowing Assessment, Burke Dysphagia Screening Test, Acute Stroke Dysphagia Screen,
and Standardized Swallowing Assessment
the Bedside Swallowing Assessment, Burke Dysphagia Screening Test, Acute Stroke Dysphagia Screen,
and Standardized Swallowing Assessment
You are a registered nurse and not a speech-language pathologist (SLP), what screening test would be the
best to use?
Burke Dysphagia Screening Test or The Acute Stroke Dysphagia Screen Screening for and treatment of
dysphagia requires an (interprofessional team approach or international team approach) of nurses,
registered dietitians (RDs), health care providers, and SLPs.
The Acute Stroke Dysphagia Screen, interprofessional team approach
Some medications can be crushed and mixed with (pureed foods or solid food) if necessary. Refer to a
medication reference to identify medications that are safe to crush.
pureed foods
1. Avoid straws because they decrease the control the patient has over volume intake, which increases the
risk of aspiration.
or
Questions And Answers
When you breathe, air enters your mouth and pharynx. From there, it travels to your lungs. Normally, a
flap called the epiglottis blocks food particles and liquid from going into your lungs. If something does
enter your lungs, it's called (inspiration, expiration, aspiration). Aspiration can lead to (thrombosis or
pneumonia) and other complications.
aspiration, pneumonia
Know signs of dysphagia (difficulty swallowing):
-cough
-change in voice tone or quality after swallowing
-delayed swallowing
-incomplete oral clearance
-pocketing of food, regurgitation
Assess the patient's ability to swallow and cough by checking for the presence of (gag reflex or patency of
throat) and then offering (50 mL of water in 5-mL allotments or 50 mL of hot water in 5-mL allotments).
Stop if a patient begins to cough.
gag reflex
50 mL of water in 5-mL allotments
Dysphagia screening:
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
during/after a swallow; facial or tongue weakness; palatal movement; difficulty with secretions;
pocketing; choking; and a spontaneous dry cough
or
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
, during/after a swallow; facial or neck wrinkles; ear movement; difficulty with secretions; pick-pocketing;
choking; and a spontaneous wet cough
medical record review; observation of a patient at a meal for change in voice quality, posture, and head
control; percentage of meal consumed; eating time; drooling or leakage of liquids and solids; cough
during/after a swallow; facial or tongue weakness; palatal movement; difficulty with secretions;
pocketing; choking; and a spontaneous dry cough
Name the dysphagia screening tests:
the Westside Swallowing Assessment, Burkely Dysphagia Screening Test, Acute Stroke Dysphagia
Screen, and Standford Swallowing Assessment
or
the Bedside Swallowing Assessment, Burke Dysphagia Screening Test, Acute Stroke Dysphagia Screen,
and Standardized Swallowing Assessment
the Bedside Swallowing Assessment, Burke Dysphagia Screening Test, Acute Stroke Dysphagia Screen,
and Standardized Swallowing Assessment
You are a registered nurse and not a speech-language pathologist (SLP), what screening test would be the
best to use?
Burke Dysphagia Screening Test or The Acute Stroke Dysphagia Screen Screening for and treatment of
dysphagia requires an (interprofessional team approach or international team approach) of nurses,
registered dietitians (RDs), health care providers, and SLPs.
The Acute Stroke Dysphagia Screen, interprofessional team approach
Some medications can be crushed and mixed with (pureed foods or solid food) if necessary. Refer to a
medication reference to identify medications that are safe to crush.
pureed foods
1. Avoid straws because they decrease the control the patient has over volume intake, which increases the
risk of aspiration.
or
