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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Magnesium-containing antacids typically cause diarrhea rather than constipation due to magnesium's ability to draw water into the intestines.
Choice B reason: Antibiotics can affect gut flora and potentially cause diarrhea. While some antibiotics may lead to constipation, it is not as common as diarrhea.
Choice C reason: Anticholinergics/antispasmodics can cause constipation because they inhibit the muscle movements in the gastrointestinal tract necessary for bowel movements.
Choice D reason: Opioid narcotics are well-known to cause constipation as they reduce gastrointestinal motility, leading to slower transit times and increased water absorption from the stool.
Correct Answer is A
Explanation
Choice A reason: Muscle weakness is a common symptom of hypokalemia, as potassium is crucial for muscle function and nerve signals that stimulate muscle contractions.
Choice B reason: Cerebral edema is not a typical manifestation of hypokalemia. It is more commonly associated with other conditions such as brain injury or disease.
Choice C reason: Hypertension is generally not a direct result of hypokalemia. In fact, low potassium levels can sometimes lead to lower blood pressure.
Choice D reason: Hyperactive bowel sounds are not specifically associated with hypokalemia. Diarrhea can cause fluid loss leading to hypokalemia, but the condition itself does not cause hyperactive bowel sounds.
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