Deck 24: Dysphagia Management

Question 1

If individuals have dysphagia,they:

A) cannot ever eat because they will aspirate.
B) can eat or drink anything and should be suctioned if they cough.
C) should be fed only with a syringe while they are lying down.
D) should eat foods prepared at consistencies they can swallow without aspirating the food.

Answer 1

D
Both solid and liquid consistencies must be evaluated and recommendations made prior to the resumption of oral feeding.

Question 2

Auscultation is used:

A) during eating to listen to breath sounds after a person swallows.
B) to record changes in the heart rate when someone aspirates.
C) to monitor blood pressure when someone eats.
D) never. It is not an effective tool to use to monitor swallowing.

Answer 2

A
The therapist may assess breath and voice quality by the ear and by cervical auscultation with a stethoscope.Cervical auscultation is accomplished by placing the diaphragm of the stethoscope lateral to the trachea and inferior to the cricoid cartilage.The therapist may adjust placement until hearing cervical breath sounds.

Question 3

During the swallow,the vocal cords should:

A) close off the airway to protect it.
B) open to allow the food into the esophagus.
C) abduct.
D) only open when the person begins talking.

Answer 3

A
The vocal cords adduct and serve as an airway protection mechanism.

Question 4

If patients have a gag reflex:

A) they will not aspirate.
B) they may still aspirate.
C) their wet-hoarse vocal quality will be due to something other than aspiration.
D) they will gag on everything they try to eat.

Question 5

Nonoral feeding options include:

A) nasogastric tube.
B) total parenteral nutrition.
C) jejunostomy.
D) all of the above.

Question 6

Shaker exercises are used to strengthen:

A) laryngeal elevation.
B) soft palate elevation.
C) lip seal.
D) all of the above.