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 {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Aspiration (Option 1): The client's report of feeling food stuck in their mouth, along with the noted hoarseness, indicates difficulty swallowing (dysphagia), which puts them at risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications, including pneumonia.
Dysphagia (Option 2): The presence of dysphagia, or difficulty swallowing, directly supports the risk for aspiration. If the client is unable to swallow safely, there is an increased likelihood of aspiration occurring during eating or drinking.
Correct Answer is B
Explanation
A. The incentive spirometer is used to promote lung expansion and prevent atelectasis, not to prevent orthostatic hypotension.
B. Dangling the legs over the side of the bed before standing allows blood pressure to adjust gradually, reducing the risk of orthostatic hypotension.
C. Isometric exercises are beneficial for muscle strength but are not specifically helpful in preventing orthostatic hypotension immediately before standing.
D. Protein intake is essential for healing, but it does not directly prevent orthostatic hypotension.
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