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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A BMI of 25–29.9 is categorized as "overweight." This indicates that the client is above the ideal weight range but has not reached the threshold for obesity.

B. Underweight is defined as a BMI below 18.5, so this option does not apply to a BMI of 29.

C. Ideal body weight is generally associated with a BMI between 18.5 and 24.9, which does not include a BMI of 29.

D. Obesity is defined as a BMI of 30 or above. Therefore, a BMI of 29 does not meet the criteria for this classification.

A. A B. B C. C D. D

Correct Answer is C

Explanation

A. This is a sign of a lower motor neuron lesion which result in flaccid paralysis of the muscles on the same side of the lesion. This includes all muscles innervated by the facial nerve, including those controlling the eyebrows.
B. A positive Babinski sign, which is an important neurological examination finding, is identified when there is dorsiflexion of the big toe and fanning of the other toes in response to a stimulus. This reflex is normal in infants but should disappear by the age of 2 years. In adults, the presence of a positive Babinski sign typically indicates an underlying condition affecting the central nervous system, such as a brain or spinal cord injury.
C. A positive Chvostek's sign is an indication of neuromuscular irritability and is typically associated with conditions such as hypocalcemia. It is elicited by tapping the facial nerve in front of the ear, which, if positive, results in twitching of the facial muscles, particularly the mouth and periorbital muscles. In the context of hypomagnesemia, a positive Chvostek's sign may also be observed due to the role of magnesium in neuromuscular function and its interaction with calcium metabolism.
D. A positive Trousseau sign is a clinical indicator of hypocalcemia, which is characterized by carpopedal spasm that occurs when the blood flow to the arm is occluded. This can be elicited by inflating a blood pressure cuff on the patient's arm to a pressure higher than their systolic blood pressure and maintaining it for 2-3 minutes. The sign is considered positive if there is involuntary flexion of the wrist, thumb, and metacarpophalangeal joints, along with the extension of the fingers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a BMI of 29. The nurse should document that the client is in which of the following weight categories?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?

Correct Answer is C

Explanation

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