Which of the following nursing actions is most effective in preventing aspiration pneumonia in clients who are at risk?
A)Turn and reposition immobile clients at least every 2 hours.
B)Place clients with altered consciousness in side-lying positions.
C)Monitor for respiratory symptoms in clients who are immuno-suppressed.
D)Provide for continuous subglottic aspiration in clients receiving enteral feedings.

Question

Quizplus · Accepted Answer

The risk for aspiration is decreased when clients with a decreased level of consciousness are placed in a side-lying or upright position. Frequent turning prevents pooling of secretions in immobilized clients but will not decrease the risk for aspiration in clients at risk. Monitoring of parameters such as breath sounds and oxygen saturation will help detect pneumonia in immuno-compromised clients, but it will not decrease the risk for aspiration. Continuous subglottic suction is recommended for intubated clients but not for all clients receiving enteral feedings.

Which of the Following Nursing Actions Is Most Effective in Preventing