The nurse observes that nursing a client frequently coughs when consuming food and liquids.
The nurse's inclusion of the risk for aspiration nursing diagnostic in this client's treatment plan is of utmost importance.
Dysphagia, or trouble swallowing, is a sign of coughing during or after meals, which puts the patient at risk for aspiration (C). The client is not now displaying any signs of breathing difficulty (A) or reduced gas exchange, although dysphagia can cause aspiration pneumonia (B). The client's coughing is an effective response when solids or liquids are delivered orally, notwithstanding the possibility that (D) is associated to an ineffective cough.
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Answer: The dietary changes that should be made is that milk and milk containing products should be avoided in diets.
Explanation:
Congenital Galactosemia is an autosomal recessive disorder due to galactose-1-phosphate uridyl transferase(Gal-1-PUT).
Galactose is necessary for the formation of cerebrosides, of some glycoproteins and , during lactation, of milk. Excess is rapidly converted into glucose by Gal-1-PUT. The symptoms of galactosemia only become apparent if the infant is taking milk or milk containing products. This will lead to a rise in plasma galactose concentration.
Its incidence is about 1 per 18,000 births. Since it's a condition that occurs at or before birth, infants are screened by identification of galactose with thin layer chromatography and by demonstrating a deficiency of Gal-1-PUT activity in erythrocytes.
If the infant does not receive treatment then there is a 75% chance of death. Therefore, dietary changes should be made which is that milk and milk containing products should be avoided in diets.
