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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?

Rapid chewing

Increased hunger

Garbled voice

Sneezing

Answer and Explanation

The Correct Answer is C

Rationale:

A. Rapid chewing is not a manifestation of dysphagia.

B. Increased hunger is not a manifestation of dysphagia.

C. A garbled voice can be a manifestation of dysphagia, as it may indicate difficulty swallowing or speaking.

D. Sneezing is not a manifestation of dysphagia.

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Correct Answer is B

Explanation

Rationale:

A. Avoiding the use of facial gestures during the instructions may not be effective for a client with expressive aphasia.

B. Determining the client's ability to use a communication board is appropriate because it helps the nurse understand how the client communicates.

C. Speaking with a loud voice while providing the information may not be effective for a client with expressive aphasia.

D. Providing the teaching without expecting the client to respond may not be effective for a client with expressive aphasia.

A. Unlock and remove the inner cannula. B. Scrub the inside and outside of the inner cannula with a small brush C. Wipe the inside of the inner cannula with a folded pipe cleaner. D. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. E. Cleanse the stoma site with 0.9% sodium chloride solution.

Correct Answer is A,D,B,C,E

Explanation

A. Unlock and remove the inner cannula is the first step because it allows access to the inner cannula for cleaning.
B. Scrub the inside and outside of the inner cannula with a small brush is the third step because it removes debris and secretions from the inner cannula.
C. Wipe the inside of the inner cannula with a folded pipe cleaner is the fourth step because it further cleans the inner cannula.
D. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin is the second step because it provides the solution for cleaning the inner cannula.

E. Cleanse the stoma site with 0.9% sodium chloride solution is the final step because it cleans the stoma site before replacing the inner cannula.

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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 preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,D,B,C,E

Explanation

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