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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vomiting is not typically associated with hypoglycemia; instead, it can be a symptom of hyperglycemia or other gastrointestinal issues.
B. Blurred vision is a common manifestation of hypoglycemia due to the effects of low blood sugar on the function of the eyes.
C. Kussmaul respirations are deep and rapid breathing patterns typically seen in diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
D. Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia; instead, tachycardia (rapid heart rate) is more commonly observed as a compensatory response to low blood sugar.
Correct Answer is C
Explanation
A. Parkinson's disease and monoamine oxidase inhibitors (MAOIs) do not typically require a reduction in intake of high-calorie foods. In fact, maintaining adequate nutrition and calorie intake is important for individuals with Parkinson's disease.
B. Grapefruit is not typically contraindicated with monoamine oxidase inhibitors. However, it's important for the client to discuss any potential interactions between grapefruit and their specific medication with their healthcare provider.
C. Aged cheeses contain tyramine, a substance that can interact with MAOIs and lead to hypertensive crisis. Therefore, individuals taking MAOIs should avoid aged cheeses to prevent this interaction.
D. Maintaining a low-protein diet is not typically recommended for individuals with Parkinson's disease or those taking MAOIs. In fact, adequate protein intake is important for overall health and muscle function.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today