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Chapter 23: Problem 118

The nurse is caring for a client with myasthenia gravis who might have swallowing impairment. Which diet selection would require intervention by the nurse? A. Boiled potatoes B. Soft scrambled eggs C. Green peas D. Macaroni and cheese

Short Answer

Expert verified
Answer: Option C, green peas.

Step by step solution

01

Understand Myasthenia Gravis and Swallowing Impairment

Myasthenia gravis is an autoimmune neuromuscular disorder that causes muscle weakness, including difficulties in swallowing. Swallowing impairment can lead to choking or aspiration, which might result in pneumonia or other complications. The nurse should intervene to ensure the client's diet is suitable for their condition, providing adequate nutrition while minimizing the risk of complications.
02

Evaluate Diet Option A - Boiled Potatoes

Boiled potatoes can be mashed, and they are generally soft and easy to swallow. This diet doesn't seem to pose a significant risk for a person with myasthenia gravis and swallowing impairment.
03

Evaluate Diet Option B - Soft Scrambled Eggs

Soft scrambled eggs are easy to chew and swallow, making them a suitable choice for someone with swallowing impairment.
04

Evaluate Diet Option C - Green Peas

Green peas may pose a risk for a person with swallowing impairment, as they are small and can be difficult to control during the swallowing process, increasing the risk of choking or aspiration. This diet selection would require intervention by the nurse.
05

Evaluate Diet Option D - Macaroni and Cheese

Macaroni and cheese, when cooked properly, is soft and easy to chew and swallow. This option doesn't seem to pose a significant risk for a person with myasthenia gravis and swallowing impairment.
06

Identify the Diet Selection that Requires Intervention

After evaluating each diet selection, we can determine that option C, green peas, would require intervention by the nurse for a client with myasthenia gravis who might have swallowing impairment.

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