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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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Free Nursing Study Resources

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.

A. Tell the client that it is safe to touch her ostomy. B. Request that someone from the client's family participate in the care. C. Ask the client to explain her feelings. D. Explain why her participation is important.

Correct Answer is C

Explanation

Rationale:

A. Telling the client that it is safe to touch her ostomy may not address the client's concerns or fears.

B. Requesting that someone from the client's family participate in the care may not address the client's concerns or fears.

C. Asking the client to explain her feelings allows the nurse to understand the client's concerns or fears and address them appropriately.

D. Explaining why her participation is important may not address the client's concerns or fears.

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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 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

A nurse is caring for a client who has a new colostomy. The client refuses to participate in her ostomy care, saying, "I'm not touching that thing." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?