A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.

Exhibits
Complete the following sentence by using the list of options.

The client is at risk for
_
as evidenced by the client's
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Aspiration (Option 1): The client's report of feeling food stuck in their mouth, along with the noted hoarseness, indicates difficulty swallowing (dysphagia), which puts them at risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications, including pneumonia.

Dysphagia (Option 2): The presence of dysphagia, or difficulty swallowing, directly supports the risk for aspiration. If the client is unable to swallow safely, there is an increased likelihood of aspiration occurring during eating or drinking.

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Correct Answer is B

Explanation

A. Moisturizing soap can leave a residue that may interfere with adhesion and is not recommended for stoma care.

B. Pressing the skin barrier for 30 seconds helps to ensure adhesion, which is necessary to prevent leakage and skin irritation.

C. The skin barrier opening should be cut close to the size of the stoma (about 1/8 inch larger) to prevent skin irritation and protect the peristomal skin.

D. Talc powder is not recommended, as it can interfere with the adhesive properties of the barrier.

A. "The lower end of the sling goes below the client's calves." B. "This type of device is useful for a client who cannot assist." C. "The sides of the sling are for the client to hold on to." D. "The device requires the client to use upper body strength."

Correct Answer is B

Explanation

A. The lower end of the sling typically goes under the client’s thighs, not below the calves.

B. Mechanical lifts are designed to help transfer clients who are unable to assist, reducing the risk of injury to both the client and the staff.

C. The client should not hold on to the sides of the sling, as this can lead to instability or injury.

D. Mechanical lifts do not require the client to use upper body strength, as they are intended to fully support non-weight-bearing clients.

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Body system	Findings
Neurological	Alert and oriented to person, place, and time: deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	Lungs clear
Cardiovascular	Heart rate irregular: Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day. Exhibits Complete the following sentence by using the list of options. The client is at risk for___ as evidenced by the client's ___

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

Correct Answer is B

Explanation

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A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.

Exhibits
Complete the following sentence by using the list of options.

The client is at risk for
_
as evidenced by the client's
_