A client who had a cerebrovascular accident is assessed by a speech therapist after choking and having difficulty swallowing. Which of the following would be appropriate for the nurse to recommend?
Steak
Iced tea
Grapes
Mashed potatoes
The Correct Answer is D
Choice A reason: Steak, a solid, requires chewing and swallowing coordination, risking aspiration in dysphagia post-CVA due to impaired pharyngeal muscle control.
Choice B reason: Iced tea, a thin liquid, flows quickly, increasing aspiration risk in CVA patients with weakened swallow reflexes, unable to manage thin consistencies safely.
Choice C reason: Grapes, small and round, pose choking and aspiration hazards in dysphagia, as they require intact bolus control, often compromised post-stroke.
Choice D reason: Mashed potatoes, soft and thick, are easier to swallow, reducing aspiration risk in dysphagia post-CVA, aligning with thickened consistency recommendations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Creatinine 5.1 in ESRD is chronic, not acute, and stable unless symptomatic; it’s less urgent than potential bleeding risks in other clients.
Choice B reason: Pain (6/10) in pancreatitis is significant but not immediately life-threatening compared to airway or bleeding risks, manageable with scheduled interventions.
Choice C reason: Itchiness and drowsiness in cirrhosis suggest liver dysfunction, concerning but not acute threats like variceal rupture, prioritizing more critical symptoms.
Choice D reason: Coughing with esophageal varices risks rupture and massive bleeding, a life-threatening emergency, making this client the priority for immediate assessment.
Correct Answer is C
Explanation
Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.
Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.
Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.
Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.
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