A nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend?

Crispy rice bar

Soda crackers

Scrambled eggs

Peanut butter

Answer and Explanation

The Correct Answer is C

A. Crispy foods like rice bars can be difficult to swallow and increase the risk of aspiration.

B. Dry foods such as soda crackers require excessive chewing and can be a choking hazard.

C. This is the correct answer. Scrambled eggs have a soft, moist texture that is easy to chew and swallow, making them a good option for clients with dysphagia.

D. Peanut butter is thick and sticky, making it difficult to swallow and increasing aspiration risk.

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Free Nursing Study Resources

Correct Answer is ["2250"]

Explanation

To calculate the total volume of IV fluid intake, we need to calculate the volume administered during each time period and then sum them up.

First 3 hours: 500 mL/hr * 3 hr = 1500 mL

Next 3 hours: 200 mL/hr * 3 hr = 600 mL

Last 2 hours: 75 mL/hr * 2 hr = 150 mL

Now, we add these volumes together:

1500 mL + 600 mL + 150 mL = 2250 mL

Therefore, the total volume the nurse should document for the client's IV fluid intake is 2250 mL.

A. "Would you tell me more about the changes you see in your body?" B. "How long have you had these feelings of uselessness? C. "Did anything in particular make you feel this way? D. "Do you ever think about harming yourself?"

Correct Answer is D

Explanation

A. Asking about body changes is important for understanding the client’s self-perception, but it does not address immediate safety concerns.

B. Inquiring about the duration of feelings of uselessness is helpful for assessing depressive symptoms, but it is not the priority over assessing for suicidal intent.

C. Exploring triggers for these feelings is useful for emotional support and planning interventions but is secondary to assessing for immediate risk of self-harm.

D. This question assesses for suicidal ideation, which is the nurse’s priority because older adults experiencing feelings of uselessness or hopelessness are at higher risk for depression and suicide. Early identification of suicidal thoughts ensures prompt intervention and support.

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A nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2250"]

Explanation

A nurse in a provider's office is talking with an older adult client who tells the nurse that he fears he is "aging badly" and feels "so useless." Which of the following assessment questions is the nurse's priority?

Correct Answer is D

Explanation

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