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 D

Explanation

A. While vitamin B12 is important for overall health, it is not specifically associated with the prevention of neural tube defects. Folate, however, is crucial for preventing neural tube defects in the developing fetus.
B. Calcium is important for bone health but is not specifically associated with the prevention of neural tube defects.
C. Magnesium is important for various bodily functions but is not specifically associated with the prevention of neural tube defects.
D. Folate (also known as folic acid) is the key nutrient recommended for preventing neural tube defects in the fetus. Pregnant women are advised to consume adequate amounts of folate, either through their diet or through supplements.

A. Vomiting B. Blurred vision C. Kussmaul respirations D. Bradycardia

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.

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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 providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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