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 C

Explanation

Choice A reason (acute renal failure): Patients recovering from acute renal failure are not typically restricted to only vegetable proteins. Protein needs can vary based on the individual's condition and treatment plan.

Choice B reason (acute renal failure): Fluid intake recommendations for patients recovering from acute renal failure depend on their current kidney function and ﬂuid balance status. A blanket restriction to 1500 mL or less per day may not be appropriate for all patients.

Choice C reason (acute renal failure): Avoiding nephrotoxic drugs is crucial for patients recovering from acute renal failure to prevent further kidney damage.

Choice D reason (acute renal failure): Self-catheterization for residual urine is not a standard recommendation for all patients recovering from acute renal failure. This would be specific to patients with urinary retention issues.

A. "It is okay to take aspirin with GERD." B. "You should avoid possible mercury-containing foods such as some seafood because of their risk to GERD." C. "There is no causal link between lying down after eating and increased onset of GERD." D. "You should avoid or cut down on alcohol and caﬀeine which can aggravate GERD."

Correct Answer is D

Explanation

Choice A reason: Aspirin can irritate the stomach lining and increase acid reﬂux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to ﬂow back into the esophagus more easily.
Choice D reason : Alcohol and caﬀeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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