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 eventually informing the provider may be necessary, it's important for the nurse to first address the client's concerns directly.
B. Documenting the refusal is important but should occur after addressing the client's concerns.
C. This action allows the nurse to educate the client about the potential risks of not taking the medication, facilitating informed decision-making.
D. Returning the medication is premature until the client's concerns have been addressed and a decision has been made regarding the medication.

A. Reposition the client once every 4 hr. B. Use a fan to circulate air in the client's room. C. Place the head of the client's bed flat. D. Provide oral care to the client once every 8 hr.

Correct Answer is B

Explanation

A. While repositioning is important for comfort and preventing pressure ulcers, repositioning every 4 hours may not be sufficient, and it does not directly address the client's dyspnea.

B. Circulating air with a fan can help reduce the sensation of breathlessness and improve comfort for clients experiencing dyspnea. This non-invasive measure can be effective in relieving symptoms.

C. Placing the head of the bed flat is generally not recommended for clients with dyspnea, as it can worsen breathing difficulties. Elevating the head of the bed is usually more helpful.

D. Frequent oral care is important for maintaining comfort, especially in end-of-life care, but every 8 hours might not be sufficient. More frequent oral care is typically needed, and while important, this does not directly address dyspnea.

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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 caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, "I'm not going to take this medication because it makes me sick and dizzy." Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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