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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Correct Answer is A

Explanation

A. This is the correct answer. Older adults are at risk for fluid overload, so infusing blood over 4-5 hours (instead of the usual 2-4 hours) is safer.

B. Blood products must be infused with 0.9% sodium chloride (normal saline) only. Dextrose-containing solutions cause hemolysis.

C. A 20-gauge catheter is acceptable, but a larger bore (18-gauge) is preferred for faster infusion.

D. Vital signs should be monitored before the transfusion, 15 minutes after starting, then every 30-60 minutes, and at completion.

A. "I will make sure that we respect your right to refuse medications." B. "You will need to rest so that you can recover from the episode that brought you here." C. "Why do you think your provider will prescribe you medications that will make you sleep?" D. "It's not your choice to be here, so you have to accept the treatment we plan for you."

Correct Answer is A

Explanation

A. "I will make sure that we respect your right to refuse medications." – This response respects the client's autonomy and reassures them that their rights will be upheld.

B. "You will need to rest so that you can recover from the episode that brought you here." – This statement dismisses the client's concerns rather than addressing them.

C. "Why do you think your provider will prescribe you medications that will make you sleep?" – While open-ended questions can encourage discussion, this does not directly reassure the client about their rights.

D. "It's not your choice to be here, so you have to accept the treatment we plan for you." – This statement is inappropriate and disregards the client's legal rights.

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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

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