A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.
The client is at risk for
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Drinking a glass of milk before bedtime can promote sleep due to the presence of tryptophan, an amino acid that helps induce sleepiness. This is a helpful sleep aid strategy.
B. Watching television in bed can stimulate the brain and disrupt sleep, making it more difficult to fall asleep.
C. Engaging in strenuous exercise, such as a long walk, immediately before bed can make it harder to fall asleep by increasing adrenaline levels.
D. Taking a long nap during the day can disrupt nighttime sleep, especially in older adults.
Correct Answer is A
Explanation
A. This response acknowledges the client’s autonomy and decision-making regarding their treatment, which is essential in patient-centered care.
B. While consulting the physician is important, this response may dismiss the client's concerns rather than addressing them directly.
C. This response may appear coercive and could undermine the client’s autonomy by suggesting negative consequences without discussing their concerns.
D. Asking why the client is refusing blood products may come off as confrontational rather than supportive, potentially making the client uncomfortable.
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