A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke.
Which of the following instructions should the nurse include?
Encourage brief exercise before meals to promote appetite.
Place the client with the head reclined back to facilitate swallowing.
Encourage the client to take small bites.
Place food in the affected side of the mouth.
The Correct Answer is C
Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A thrombotic stroke occurs when a blood clot forms in one of the arteries that supply blood to the brain. It does not typically cause a sudden, severe headache and vomiting.
Choice B rationale:
A transient ischemic attack (TIA), or “mini-stroke,” is a temporary blockage of blood flow to the brain. It does not cause a sudden, severe headache and vomiting.
Choice C rationale:
A hemorrhagic stroke occurs when a blood vessel in the brain bursts, causing bleeding into the brain. This can cause a sudden, severe headache and vomiting.
Choice D rationale:
An embolic stroke occurs when a blood clot or other debris forms away from your brain — commonly in your heart — and is swept through your bloodstream to lodge in narrower brain arteries. This type of stroke does not typically cause a sudden, severe headache and vomiting.
Correct Answer is B
Explanation
Choice A rationale:
Urinary retention is not typically associated with menopause.
Choice B rationale:
Dryness with intercourse is a common symptom of menopause due to decreased estrogen levels.
Choice C rationale:
An elevation in body temperature above 37.8° C (100° F) is not typically associated with menopause.
Choice D rationale:
Decreased blood pressure is not typically associated with menopause.
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