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 B
Explanation
Choice A rationale:
Notifying the nurse manager is important, but it’s not the priority action.
Choice B rationale:
Monitoring the client for hypoglycemia is the priority because the nurse administered an excessive insulin dose.
Choice C rationale:
Completing an incident report is necessary, but it’s not the priority action.
Choice D rationale:
Giving the client 15 to 20 g of carbohydrate might be necessary if the client shows signs of hypoglycemia.
Correct Answer is D
Explanation
Choice A rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
Choice B rationale:
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
Choice C rationale:
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
Choice D rationale:
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
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