A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

Hoarse voice.

Weight gain.

Expressive aphasia.

Continuous smiling.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A hoarse voice is a manifestation of dysphagia, which is difficulty swallowing. Dysphagia can occur after a stroke due to weakness or paralysis of the muscles involved in swallowing. It can lead to problems like aspiration, where food or liquid enters the airway instead of the digestive tract, causing coughing, choking, and changes in the voice.
Choice B rationale:
Weight gain is not typically associated with dysphagia. Dysphagia tends to lead to weight loss rather than weight gain, as individuals may avoid eating due to the discomfort and difficulty associated with swallowing.
Choice C rationale:
Expressive aphasia is not directly related to dysphagia. Expressive aphasia is a language disorder that impairs a person's ability to produce language. It's caused by damage to specific areas of the brain, often not directly linked to swallowing difficulties.
Choice D rationale:
Continuous smiling is not a typical manifestation of dysphagia. Dysphagia is related to difficulties in swallowing and does not typically manifest as continuous smiling. It's more likely to cause distress, discomfort, and changes in vocal quality.

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Correct Answer is C

Explanation

Choice A rationale:
Crohn's disease is not commonly associated with obesity. Crohn's disease is a chronic inflammatory bowel disease that can lead to weight loss due to malabsorption and other gastrointestinal symptoms.
Choice B rationale:
Peptic ulcer disease is not directly linked to obesity. Peptic ulcers are primarily caused by Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice C rationale:
Gastroesophageal reflux disease (GERD) is commonly associated with obesity. Excess weight, especially around the abdominal area, can contribute to increased pressure on the stomach and lower esophageal sphincter, leading to the backflow of stomach acid into the esophagus and causing symptoms of GERD such as heartburn and regurgitation.
Choice D rationale:
Celiac disease is not typically associated with obesity. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease often experience weight loss and malabsorption due to intestinal damage.

A. Apply low intermittent suction. B. Increase the rate of the feeding. C. Check for gastric residual. D. Request a higher-fat formula.

Correct Answer is C

Explanation

Choice Arationale:
Applying low intermittent suction is used for nasogastric tube management to remove excess air or gastric contents and is not directly related to addressing cramping and abdominal distention. This action doesn't address the underlying issue.

Choice Brationale:
Increasing the rate of feeding is not the appropriate action to take in response to cramping and abdominal distention. It might worsen the discomfort and potentially overload the client's gastrointestinal system, leading to more issues.

Choice C rationale:
(Correct Choice) Checking for gastric residual is the appropriate action in this scenario. Cramping and abdominal distention can indicate delayed gastric emptying, which might be caused by an accumulation of feeding within the stomach. By checking for gastric residual, the nurse can assess whether there is a significant amount of residual feeding present, which might require adjusting the feeding rate or intervention.
Choice D rationale:
Requesting a higher-fat formula is not the initial action to take when the client reports cramping and abdominal distention. It assumes that the discomfort is due to the formula's composition, which might not be the case. First, assessing for gastric residual and considering other factors is important before changing the formula.

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A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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