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.
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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Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}
Explanation
Unpasteurized cheese: Contraindicated. Unpasteurized cheese carries a risk of containing harmful bacteria, which can pose a risk of infection, especially for immunocompromised individuals like those undergoing chemotherapy.
Grilled hot dog: Contraindicated. Grilled hot dogs may pose a risk of bacterial contamination, which can be harmful, especially for individuals with mouth sores and immunosuppression. High-calorie supplement drink: Safe. High-calorie supplement drinks can provide essential nutrients and calories, which can be beneficial for clients undergoing chemotherapy, especially if they have increased appetite.
Sushi: Contraindicated. Sushi may contain raw fish or other raw ingredients that can increase the risk of foodborne illness, which can be harmful for immunocompromised individuals.
Cold deli meat sandwich: Contraindicated. Cold deli meats may carry a risk of listeria contamination, which can be harmful, especially for individuals with weakened immune systems due to chemotherapy.
Correct Answer is ["D","F"]
Explanation
A. Orange juice: Orange juice is a good source of vitamin C and can contribute to overall nutritional intake. However, it is not specifically indicated based on the laboratory results provided.
B. Carrots: Carrots are rich in beta-carotene, which is a precursor to vitamin A. While they are generally nutritious, they are not specifically indicated based on the laboratory results provided.
C. Almonds: Almonds are a good source of magnesium, which can help if the client is experiencing a deficiency, as indicated by the slightly low magnesium level in the laboratory results.
D. Eggs: Eggs, particularly the yolks, also contain this essential nutrient. Including these foods in the client's diet can help improve their vitamin D levels and overall health.
E. Brussels sprouts: Brussels sprouts are a good source of vitamin C and other nutrients, but they are not specifically indicated based on the laboratory results provided.
F. Salmon: Salmon is a good source of vitamin D, which can help address a deficiency if present, as indicated by the low level of total 25-hydroxy D in the laboratory results.
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