Nokea
A client with a tracheostomy experienced a coughing spell during a meal that was being fed by an unlicensed assistive personnel (UAP). What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's lung sounds. This action takes priority because the client experienced a coughing spell, indicating a potential aspiration risk. Assessing lung sounds can help determine if there is any respiratory distress or compromised airway.
B: Assigning a different UAP does not address the immediate concern of the client's respiratory status.
C: Reporting the UAP to the manager may be necessary but is not the immediate priority when the client's health is at risk.
D: Requesting thicker liquids for meals does not address the client's current condition and may not be appropriate without proper assessment.