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

A. Crohn's disease is more commonly associated with weight loss or difficulty maintaining weight due to symptoms such as decreased appetite, malabsorption, and increased metabolic demands from inflammation.
B. Glutamine is an amino acid that may have some benefits in certain medical conditions, but there is limited evidence to support its use in Crohn's disease management. Avoiding glutamine is not a standard recommendation for Crohn's disease.
C. Crohn's disease can cause diarrhea and bowel irregularities, but taking mild laxatives is not typically recommended as part of the management plan. In fact, laxatives may worsen symptoms in some cases.
D. Limiting the amount of fiber in the diet can help reduce gastrointestinal symptoms such as diarrhea, abdominal pain, and bowel obstructions, which are common in Crohn's disease.

A. Limit protein intake. B. Increase phosphorus intake. C. Increase potassium intake. D. Limit calcium intake.

Correct Answer is A

Explanation

A. Limiting protein intake is important for individuals with chronic kidney disease to reduce the workload on the kidneys and minimize the accumulation of waste products in the blood. High protein intake can accelerate the progression of kidney damage.
B. Increasing phosphorus intake is not recommended for individuals with chronic kidney disease, as impaired kidney function can lead to elevated phosphorus levels in the blood, which can contribute to complications such as bone disease and cardiovascular issues.
C. Increasing potassium intake is typically not advised for individuals with chronic kidney disease, especially if they have elevated potassium levels (hyperkalemia), as this can further stress the kidneys and increase the risk of cardiac arrhythmias.
D. Limiting calcium intake may be necessary for individuals with certain types of kidney stones, but it is not a general recommendation for all individuals with chronic kidney disease. In fact, calcium is important for bone health, and individuals with chronic kidney disease are at
increased risk of bone mineral disorders.

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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 providing discharge teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

Correct Answer is A

Explanation

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