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?

Peanut butter

Crispy rice bar

Scrambled eggs

Soda crackers

Answer and Explanation

The Correct Answer is C

A. Peanut butter: Peanut butter is typically thick and sticky, which can pose a choking hazard for individuals with dysphagia, especially if they have difficulty swallowing thicker textures. Therefore, peanut butter is not a suitable recommendation for a client with dysphagia.
B. Crispy rice bar: Crispy rice bars are often dry and crunchy, which can be challenging for individuals with dysphagia to swallow safely. Foods with dry or brittle textures can increase the risk of aspiration or choking, particularly in those with swallowing difficulties.
C. Scrambled eggs: Scrambled eggs are a suitable option for individuals with dysphagia, especially if they are prepared to a soft and moist consistency. Eggs are a good source of protein and can be easily modified to meet the texture requirements of a dysphagia diet. Soft and moist foods are generally safer for individuals with swallowing difficulties.
D. Soda crackers: Soda crackers are dry and crumbly, which can present a choking risk for individuals with dysphagia. Foods with a dry and crumbly texture should be avoided or modified to a safer consistency for individuals with swallowing difficulties. Therefore, soda crackers are not recommended for a client with dysphagia.

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Correct Answer is B

Explanation

A. Take antacids that contain mint for heartburn. - This statement is incorrect. While antacids can help neutralize stomach acid and relieve heartburn symptoms, antacids containing mint can relax the lower esophageal sphincter (LES), leading to increased reflux symptoms. Therefore, clients with GERD should avoid antacids containing mint.
B. Avoid consuming foods containing chocolate. - This statement is correct. Chocolate is a common trigger for GERD symptoms due to its high fat content, which can relax the LES and delay stomach emptying, leading to increased acid reflux. Advising the client to avoid foods containing chocolate can help minimize GERD symptoms.
C. Increase dietary intake of citrus fruits. - This statement is incorrect. Citrus fruits are acidic and can exacerbate GERD symptoms by increasing stomach acid production and irritating the esophagus. Therefore, clients with GERD should limit or avoid citrus fruits to reduce acid reflux.
D. Lie down for 30 min after eating a meal. - This statement is incorrect. Lying down after eating can worsen GERD symptoms by allowing stomach acid to flow back into the esophagus more easily. Instead, clients with GERD should remain upright for at least 2-3 hours after eating to help prevent acid reflux.

A. "I will take the medication in the morning." B. "I will avoid crushing this medication." C. "I will take the medication on an empty stomach." D. "I will expect to gain weight."

Correct Answer is B

Explanation

A. "I will take the medication in the morning." - Metformin extended-release tablets are typically taken with the evening meal to minimize gastrointestinal side effects. Taking it in the morning may increase the risk of side effects during the day.
B. "I will avoid crushing this medication." - Metformin extended-release tablets should not be crushed, chewed, or broken, as doing so can disrupt the extended-release mechanism, leading to an increased risk of adverse effects or decreased efficacy.
C. "I will take the medication on an empty stomach." - While metformin can be taken with or without food, it is generally recommended to take it with meals to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea or upset stomach.
D. "I will expect to gain weight." - Weight loss is a common side effect of metformin, particularly in individuals with type 2 diabetes. Therefore, expecting weight gain would indicate a misunderstanding of the medication's effects.

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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

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