A nurse is caring for a client.
Click to specify if the client statements indicate understanding or no understanding.
"I will have to stop watching television while I eat."
"I won't be able to eat nuts anymore."
"My food will have to be the consistency of pudding."
"I can have cream soups on this diet."
"I will look up at the ceiling when I swallow."
"I shouldn't drink liquids while I have food in my mouth."
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"D"},"E":{"answers":"D"},"F":{"answers":"A"}}
"I will have to stop watching television while I eat." Understanding: Multitasking while eating can increase the risk of choking, so focusing on the meal is important.
"I won't be able to eat nuts anymore." Understanding: Nuts are not appropriate for a Level 3 dysphagia diet due to their texture, which can be a choking hazard.
"My food will have to be the consistency of pudding." Understanding: A Level 3 dysphagia diet involves foods with a pudding-like consistency to minimize choking risk.
"I can have cream soups on this diet." No Understanding: Cream soups are typically too thin for a Level 3 dysphagia diet, which requires thicker consistencies.
"I will look up at the ceiling when I swallow." No Understanding: The correct practice is to keep the head level or slightly tilted forward, not to look up at the ceiling.
"I shouldn't drink liquids while I have food in my mouth." Understanding: Drinking liquids while chewing food can increase the risk of aspiration or choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing the rate to 250 mL/hr is not appropriate as it could lead to fluid overload or worsen the client’s condition.
B. Slowing the rate to 20 mL/hr may be too low for maintaining adequate hydration or treatment needs in the context of a head injury.
C. Slowing the rate to 50 mL/hr is not indicated unless there is a specific reason to decrease the fluid rate based on clinical conditions, which is not stated here.
D. Continuing the rate at 125 mL/hr is appropriate for maintaining the current IV fluid regimen unless there are specific orders or conditions that require a change.
Correct Answer is ["B","C","E"]
Explanation
A. Increase in hematocrit is not expected in fluid overload; it generally decreases due to dilution of blood components.
B. Increased respiratory rate can occur as the body tries to compensate for fluid overload, which may affect lung function and cause respiratory distress.
C. Increased blood pressure is a common finding in fluid overload due to increased blood volume in the circulatory system.
D. Increased temperature is not a typical finding in fluid overload; it might be associated with infection or inflammation instead.
E. Increased heart rate can occur as the body compensates for increased blood volume and higher blood pressure.
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