A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?

Use a syringe to give the client fluids.

Tilt the client's head forward when swallowing.

Schedule physical therapy directly before mealtime.

Encourage the client to complete the meal within 15 min.

Answer and Explanation

The Correct Answer is B

A.   Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B.   Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C.   Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D.   Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.

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Correct Answer is D

Explanation

Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.

Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.

Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.

Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.

A. Fasting glucose level B. HDL level C. Triglyceride level D. Blood pressure reading E. Waist circumference measurement

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Fasting glucose level: Elevated fasting glucose levels are a component of metabolic syndrome, indicating potential insulin resistance or diabetes.
B. HDL level: Low levels of HDL cholesterol are indicative of metabolic syndrome, as HDL helps remove cholesterol from the arteries.
C. Triglyceride level: High levels of triglycerides in the blood are a sign of metabolic syndrome and can lead to arterial plaque buildup.
D. Blood pressure reading: High blood pressure is a criterion for metabolic syndrome and can cause damage to the heart and arteries.
E. Waist circumference measurement: An increased waist circumference is a clear indicator of metabolic syndrome, reflecting central obesity.

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A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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