Difficulty: Medium
Average Score: 81%
Practice
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the nurse implement first?
Correct answer
C
Rationale
Evaluating the client's ability to swallow is the priority intervention in this scenario. Pontine myelinolysis can affect neurological functions, including swallowing ability, putting the client at risk for aspiration. Assessing the client's ability to swallow will help prevent complications such as aspiration pneumonia. Reorienting the client to the room, placing an eye patch, or performing range of motion exercises are not as critical as ensuring the client can safely swallow.