A nurse is developing a plan of care for a client who is recovering from a stroke and is experiencing dysphagia and right-sided weakness. Which of the following interventions should the nurse include in the plan of care?

Provide a nonskid placemat for the client at meals.

Instruct the client to tilt their head back when swallowing.

Instruct the client to chew food on the right side of their mouth.

Provide narrow-grip utensils during meals.

Answer and Explanation

The Correct Answer is A

A.   Providing a nonskid placemat can help prevent spills and accidents during meals, especially for a client with right-sided weakness who may have difficulty with coordination and balance.
B.   Instructing the client to tilt their head back when swallowing is not recommended and may increase the risk of aspiration, particularly for a client with dysphagia.
C.   Instructing the client to chew food on the right side of their mouth may not be feasible or effective, especially if there is weakness on the right side.
D.   Providing narrow-grip utensils may not directly address the client's needs related to dysphagia and right-sided weakness.

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Correct Answer is B

Explanation

A. Vomiting is not typically associated with hypoglycemia; instead, it can be a symptom of hyperglycemia or other gastrointestinal issues.
B. Blurred vision is a common manifestation of hypoglycemia due to the effects of low blood sugar on the function of the eyes.
C. Kussmaul respirations are deep and rapid breathing patterns typically seen in diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
D. Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia; instead, tachycardia (rapid heart rate) is more commonly observed as a compensatory response to low blood sugar.

A. "Your biggest meal of the day should be breakfast." B. "Set your weight loss goal to 2.5 pounds per week." C. "Meal replacement shakes can cause weight gain." D. "Make sure to drink water with your meals."

Correct Answer is A

Explanation

A. Eating a larger meal at breakfast and smaller meals throughout the day can help regulate appetite, reduce overall caloric intake, and promote weight loss.
B. Setting a weight loss goal of 2.5 pounds per week may be unrealistic or unsafe for some individuals. A more moderate and sustainable goal, such as 1-2 pounds per week, is typically recommended.
C. Meal replacement shakes can be a convenient option for some individuals as part of a weight loss plan, but they do not inherently cause weight gain. However, it's important to choose meal replacements with appropriate nutritional content and to use them as part of a balanced diet.
D. Drinking water with meals can help promote satiety and may prevent overeating, but it is not the only behavioral modification necessary for successful weight loss.

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A nurse is developing a plan of care for a client who is recovering from a stroke and is experiencing dysphagia and right-sided weakness. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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