A nurse is caring for a client.

Exhibits

A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

I will have to stop watching television while I eat.

I will look up at the ceiling when I Swallow.

I won’t be able to eat nuts anymore.

I shouldn’t drink liquids while I have food in my mouth.

My food will have to be the consistency of pudding.

I can have cream soups on this diet

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Understanding: A, D, E, F

No understanding: B, C
A.   This indicates understanding. Distractions during meals are discouraged to focus on chewing and swallowing.
B.   This indicates no understanding. This is not a recommended technique for managing dysphagia. It's important to maintain a neutral head position during swallowing.
C.   This indicate no understanding. Nuts are a common choking hazard and are often restricted for individuals with dysphagia to prevent aspiration.
D.   This is a correct understanding. It's important to separate drinking liquids and eating to prevent choking and aspiration.
E.   This is a correct understanding. Depending on the severity of dysphagia, a soft or pureed diet may be recommended.
F.   Cream soups are generally allowed on a dysphagia diet, as they are usually smooth and do not pose a high risk of aspiration.

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Correct Answer is A

Explanation

A. Edema, which is swelling caused by fluid accumulation in the tissues. Edema is a common sign of inflammation and infection in wounds.
B. Crusting over granulated tissue may indicate normal wound healing and is not necessarily a sign of infection.
C. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. They are usually associated with blood disorders or trauma, not infection.
D. Urticaria (hives) is typically associated with allergic reactions and is not a typical sign of wound infection.

A. A client who has a punctured femoral artery B. A client who has an open fracture C. A client who exhibits manifestations of multiple organ failure D. A client who has several closed fractures with bruising

Correct Answer is A

Explanation

A. Emergent (red tag) category includes patients with life-threatening injuries requiring immediate attention, such as a punctured femoral artery.
B. An open fracture may be urgent but not emergent unless associated with severe bleeding or other life-threatening complications.
C. Manifestations of multiple organ failure are severe but may fall into the expectant (black tag) category.
D. Closed fractures with bruising may be urgent but not emergent unless there are associated life-threatening complications.

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A nurse is caring for a client. Exhibits A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is caring for a client.

Exhibits

A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?