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

Dumping syndrome

Aspiration

Gastroesophageal reﬂux disease

Peptic ulcer disease

Answer and Explanation

The Correct Answer is B

Choice A reason: Dumping syndrome is not commonly associated with dysphagia post-stroke.

Choice B reason: Aspiration is a significant risk for patients with dysphagia following a stroke and should be closely monitored to prevent complications like aspiration pneumonia.

Choice C reason: Gastroesophageal reﬂux disease may occur but is not the most immediate concern for stroke patients with dysphagia.

Choice D reason: Peptic ulcer disease is not directly related to dysphagia and is less likely to be an immediate complication post-stroke.

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Correct Answer is A

Explanation

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

A. Enhance the formation of granulation tissue. B. Ensure brisk bleeding from the sites so ﬂuid volume status can be maintained. C. Ensure the return of distal pulses. D. Decrease edema formation.

Correct Answer is C

Explanation

Choice A reason: Enhancing the formation of granulation tissue is not the immediate expected outcome of an escharotomy.

Choice B reason: Ensuring brisk bleeding is not the goal; minimal bleeding is expected, and it should be controlled to maintain ﬂuid volume status.

Choice C reason: Ensuring the return of distal pulses is the expected outcome of an escharotomy, as it relieves pressure and restores circulation to the aﬀected limbs.

Choice D reason: Decreasing edema formation is a benefit of the procedure but not the primary expected outcome.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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