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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:
Apneustic respirations are characterized by prolonged inspiratory phase with shortened expiratory phase, not alternating periods of hyperventilation and apnea.
Choice B rationale:
Stridor is a high-pitched, wheezing sound caused by disrupted airflow, not a pattern of breathing.
Choice C rationale:
Kussmaul respirations are deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis, not alternating periods of hyperventilation and apnea.
Choice D rationale:
Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation and apnea.

A. "The bright light in this room is really bothering me.”. B. "It's hard to see with a patch on one eye. I'm afraid of falling.”. C. "I need something for the pain in my eye. I can't stand it.”. D. "My eye really itches, but I'm trying not to rub it.”.

Correct Answer is C

Explanation

Choice A rationale:
Sensitivity to light is a common postoperative symptom after cataract surgery.
Choice B rationale:
Difficulty with depth perception is expected when one eye is patched.
Choice C rationale:
Severe pain is not a normal postoperative symptom and should be reported to the provider.
Choice D rationale:
Itching is a common postoperative symptom after cataract surgery.

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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?

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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?