Safety and Infection Control Practice Question
Question
The nurse is caring for a client with pneumonia and is focused on aspiration risk scenario 10. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
- D. Position upright, assess swallowing, and implement diet precautions.
Correct Answer
D. Position upright, assess swallowing, and implement diet precautions.
Explanation
The priority action for aspiration risk is to position upright, assess swallowing, and implement diet precautions. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: hard
- Domain: Safety and Infection Control
- Objective: aspiration risk