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------------------------------------------------ A client diagnosed with an ischemic stroke is being assisted with mealtime. The nurse recognizes that the client is exhibiting signs of mild choking.

Arrange the steps for managing a client who is choking in order:

a) Confirm that a suction canister, tubing, and Yankauer suction tip are in the room.
b) Place the Yankauer suction tip in the back of the throat to induce the gag reflex while on continuous suction.
c) Position the client at a 90-degree angle.
d) Connect the suction canister, tubing, and Yankauer suction tip to the vacuum regulator.
e) Continue to monitor the client's peripheral oxygen saturation.
f) Manually remove any visible pieces of food in the client's mouth with the Yankauer suction tip.

To manage a client who is choking, the steps include confirming the availability of suction equipment, positioning the client upright, connecting and using the suction equipment, removing visible obstructions, inducing a gag reflex to clear further obstruction, and monitoring oxygen saturation.

Explanation:

When managing a client who is choking, particularly after an ischemic stroke where dysphagia might be present, the nurse should perform the following steps in order:

Confirm that a suction canister, tubing, and Yankauer suction tip are in the room to ensure immediate availability of equipment.
Position the client at a 90-degree angle to aid in preventing aspiration and to make it easier to clear any obstructions.
Connect the suction canister, tubing, and Yankauer suction tip to the vacuum regulator, as this is needed to provide effective suction.
Manually remove any visible pieces of food in the client's mouth with the Yankauer suction tip to clear the airway.
Place the Yankauer suction tip in the back of the throat to induce the gag reflex while on continuous suction, which may help to clear any further obstruction.
Continue to monitor the client's peripheral oxygen saturation to ensure that they are receiving adequate oxygen and to assess the effectiveness of the interventions.