A nurse is preparing to admit a client who has dysphagia. Which of the following pieces of equipment should the nurse plan to have at the client's bed side?
60 mL catheter-tip syringe
Yankauer suction device
pH strip
Padded tongue blade
The Correct Answer is B
A. 60 mL catheter-tip syringe
More appropriate for enteral tube feeding, not general dysphagia management.
B. Yankauer suction device
Needed in case the client aspirates or has trouble managing oral secretions.
C. pH strip
Used to verify placement of NG tubes, not specific to dysphagia precautions.
D. Padded tongue blade
Used for seizure precautions-not relevant here unless seizure risk exists.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the client to empty their bladder.
An empty bladder improves comfort and allows better access to pelvic structures.
B. Assist to a prone position
The lithotomy position is used for pelvic exams.
C. Place arms over head
Arms should be relaxed at the side or on the chest to reduce muscle tension.
D. Instruct to douche
Douching is not recommended as it can alter vaginal flora and obscure exam findings.
Correct Answer is D
Explanation
A. "I've lost 3 pounds in the last week.":
This is an expected effect of diuresis, indicating fluid loss and effectiveness of the drug.
B. "I suck on hard candy for my dry mouth.":
Dry mouth is a known side effect of diuretics; sucking candy is an appropriate remedy.
C. "I'm urinating in larger amounts.":
This is an expected outcome of furosemide, a loop diuretic.
D. "I have to sleep sitting up.":
This suggests orthopnea, a symptom of worsening heart failure, which requires provider notification.
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