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?

Increased hunger

Garbled voice

Sneezing

Rapid chewing

Answer and Explanation

The Correct Answer is B

A.   Increased hunger: Dysphagia is not typically associated with increased hunger.
B.   Garbled voice: Difficulty swallowing (dysphagia) can result in a garbled or hoarse voice due to food or liquid entering the airway.
C.   Sneezing: While sneezing is not typically associated with dysphagia, it can be a response to irritants in the nasal passages.
D.   Rapid chewing: Rapid chewing is not necessarily indicative of dysphagia and may occur for various reasons, such as habit or anxiety.

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Correct Answer is C

Explanation

A. While organ donation may be included in advance directives, it is not the primary purpose of advance directives, which are primarily focused on healthcare decision-making.
B. Advance directives do not require approval from an attorney to be enforced. They are legal documents that become effective once signed by the individual, witness, and, in some cases, notarized.
C. This statement indicates an understanding of the procedural requirement for signing a living will, which typically involves witnesses to ensure its validity.

D. Naming a designee in a durable power of attorney for health care is another aspect of advance directives, but this statement does not address the procedural requirements for signing the
document.

A. Squeeze the client's finger until a blood drop forms. B. Apply clean gloves. C. Prick the side of the client's finger. D. Elevate the client's hand above the level of the heart. E. Cleanse the client's finger with an iodine swab.

Correct Answer is ["B","C"]

Explanation

A. Squeezing the client's finger until a blood drop forms can result in hemolysis and inaccurate results; instead, gentle milking or massaging of the finger is recommended.
B. Applying clean gloves is necessary to maintain infection control practices.

C. Pricking the side of the client's finger is the appropriate technique for obtaining a capillary blood specimen.

D. Elevating the client's hand above the level of the heart is not necessary and may impede blood flow.
E. Cleansing the client's finger with an iodine swab helps to disinfect the area prior to obtaining the blood specimen.

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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 reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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