A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Alternate the client's liquids and solids during meals.

Elevate the client's head of the bed to 45 degrees during meals.

Instruct the client to tilt their head back while swallowing.

Turn on the client's television during meals.

Answer and Explanation

The Correct Answer is B

Choice A reason: Alternating liquids and solids is not a specific intervention for dysphagia management.

Choice B reason: Elevating the head of the bed to 45 degrees or higher during meals can help prevent aspiration in
clients with dysphagia.

Choice C reason: Telling a client with dysphagia to tilt their head back while swallowing can increase the risk of aspiration.

Choice D reason: Turning on the television is not a recommended practice as it can distract the client from focusing
on safe swallowing techniques.

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Correct Answer is B

Explanation

Choice A reason: Metabolic alkalosis is not commonly associated with COPD. It occurs when there is an accumulation
of bicarbonate or a loss of hydrogen ions.

Choice B reason: Respiratory acidosis is a common acid-base imbalance in clients with COPD. It occurs due to the retention of CO2 as a result of reduced respiratory function.

Choice C reason: Metabolic acidosis is characterized by a decrease in serum bicarbonate and is not typically a direct
result of COPD.

Choice D reason: Respiratory alkalosis occurs when there is a decrease in CO2 levels, which is the opposite of what is expected in COPD.

A. Decreased bowel sounds B. Rigid abdomen C. Hypothermia D. Dehydration

Correct Answer is D

Explanation

Choice A reason: Decreased bowel sounds are not typically associated with diarrhea. Diarrhea usually presents with
increased bowel sounds due to hyperactive gastrointestinal motility.

Choice B reason: A rigid abdomen may suggest an acute abdomen that requires immediate medical attention, not a common finding in uncomplicated cases of diarrhea.

Choice C reason: Hypothermia is not a common finding in diarrhea. Fever may occur if the diarrhea is infectious in
origin.

Choice D reason: Dehydration is a common finding in patients with prolonged diarrhea due to excessive loss of fluids
and electrolytes.

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A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has COPD. The nurse should identify that the client is at risk for which of the following acid-base imbalances?

Correct Answer is B

Explanation

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is planning care for a client who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the client's plan of care?

A nurse is collecting data from a client who has an inadequate dietary intake of fiber. Which of the following findings should the nurse expect?

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A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?

After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?

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