A nurse is caring for a client who had a stroke and has dysphagia. For which of the following complications should the nurse monitor the client?

Aspiration

Gastroesophageal reflux disease

Peptic ulcer disease

Dumping syndrome

Answer and Explanation

The Correct Answer is A

Aspiration is a common complication in patients with dysphagia post-stroke due to impaired swallowing reflexes, leading to food or liquid entering the lungs.

Choice B reason: Gastroesophageal reflux disease could be a concern but is not directly related to dysphagia post-stroke.

Choice C reason: Peptic ulcer disease is not typically a complication of dysphagia post-stroke.

Choice D reason: Dumping syndrome is related to rapid gastric emptying post-meal, not dysphagia post-stroke.

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Correct Answer is D

Explanation

Choice A reason: Morphine is used to manage pain and anxiety after the initial acute phase of an MI.

Choice B reason: Aspirin is used in the initial treatment of MI to prevent further clot formation but is not primarily for pain and anxiety management.

Choice C reason: Oxygen is administered during the acute phase of an MI if the patient is hypoxic.

Choice D reason: Nitroglycerin is used to manage chest pain in MI but is not the primary medication for general pain and anxiety post-acute phase.

A. Tape the connections on the client's chest tube. B. Position the client in a supine position. C. Strip the client's chest tube every 2 hours. D. Place the chest tube drainage system above the level of the client's heart.

Correct Answer is A

Explanation

Choice A reason:Taping the connections on the client's chest tube is essential to maintain a closed system and prevent air leaks, which could lead to a pneumothorax.

Choice B reason:Positioning the client in a supine position is not recommended as it may not facilitate optimal drainage from the pleural space.

Choice C reason:Stripping the chest tube, which involves applying pressure and sliding the fingers down the tube to remove clots, is not routinely recommended as it can generate high negative pressures and damage lung tissue.

Choice D reason: The chest tube drainage system should be placed below the level of the client's heart to allow for gravity drainage of pleural fluid and air.

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A nurse is caring for a client who had a stroke and has dysphagia. For which of the following complications should the nurse monitor the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). Which of the following medications should the nurse plan to administer after the initial acute phase to manage the client's pain and anxiety?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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