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. Eating apples and black-eyed peas is not typically associated with impaired bowel

elimination. In fact, these foods are often considered high in fiber, which can promote regular bowel movements.
B. Drinking an adequate amount of water daily is generally beneficial for bowel health and can help prevent constipation.

C. Taking opioid pain medication is a significant risk factor for impaired bowel elimination.
Opioids are known to slow down bowel motility and can lead to constipation.
D. Drinking coffee in moderation may have a mild laxative effect for some individuals and is not necessarily indicative of impaired bowel elimination.

A. "I will empty my drainage bag once a day." B. "I will apply antiseptic ointment to the tip of my penis." C. "I will keep the drainage bag below the level of my waist." D. "I will clamp the tube when I go for a walk."

Correct Answer is C

Explanation

Emptying the drainage bag once a day is not frequent enough and could lead to overfilling and potential urinary tract infections.

Applying antiseptic ointment to the tip of the penis is not recommended as it can cause irritation and increase the risk of infection.

Keeping the drainage bag below the level of the waist helps prevent backflow of urine into the bladder and reduces the risk of infection.

Clamping the tube when going for a walk can cause urine to back up into the bladder and increase the risk of infection.

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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 about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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