QuestionJuly 14, 2025

A patient recently diagnosed with amyotrophic lateral sclerosis is having difficulty with swallowing and has been choking and coughing excessively at mealtimes. The nurse implements which action first? 1. Initiating low-flow oxygen therapy 2. Suctioning the oropharynx 3. Auscultating breath sounds 4. Assessing neurological status

A patient recently diagnosed with amyotrophic lateral sclerosis is having difficulty with swallowing and has been choking and coughing excessively at mealtimes. The nurse implements which action first? 1. Initiating low-flow oxygen therapy 2. Suctioning the oropharynx 3. Auscultating breath sounds 4. Assessing neurological status
A patient recently diagnosed with amyotrophic lateral
sclerosis is having difficulty with swallowing and has
been choking and coughing excessively at mealtimes.
The nurse implements which action first?
1. Initiating low-flow oxygen therapy
2. Suctioning the oropharynx
3. Auscultating breath sounds
4. Assessing neurological status

Solution
4.2(265 votes)

Answer

2. Suctioning the oropharynx Explanation 1. Identify the immediate concern The patient is at risk of aspiration due to difficulty swallowing, leading to choking and coughing. 2. Determine priority action Suctioning the oropharynx helps clear any secretions or food particles that may cause obstruction or aspiration.

Explanation

1. Identify the immediate concern<br /> The patient is at risk of aspiration due to difficulty swallowing, leading to choking and coughing.<br /><br />2. Determine priority action<br /> Suctioning the oropharynx helps clear any secretions or food particles that may cause obstruction or aspiration.
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