A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?
Rapid chewing
Garbled voice
Sneezing
Increased hunger
The Correct Answer is B
A. Rapid chewing is not specific to dysphagia.
B. A garbled or "wet" voice is often a sign of dysphagia, as it can indicate difficulty with swallowing and risk for aspiration.
C. Sneezing is not typically associated with swallowing difficulties.
D. Increased hunger is unrelated to dysphagia and does not indicate difficulty swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Providing snug-fitting nightwear may not help with insomnia; loose-fitting clothing is generally more comfortable for sleep.
B. Keeping the door to the client's room closed can help minimize disturbances and create a more tranquil environment, which is beneficial for a client with insomnia.
C. Administering diuretics in the evening can increase nighttime urination, which may exacerbate insomnia rather than alleviate it.
D. Using overhead lighting can disrupt the client's ability to relax and fall asleep; softer lighting is generally more conducive to a restful environment.
Correct Answer is B
Explanation
A. Light bleeding from the stoma can be normal in the early postoperative period, but it should be monitored.
B. A dark-colored stoma can indicate ischemia or compromised blood supply, which is a critical finding that requires immediate reporting to the provider.
C. Slight protrusion of the stoma is typically expected and not a cause for concern.
D. Small amounts of liquid stool from the stoma are normal in the immediate postoperative period and do not need to be reported.
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