Assisting a stroke patient with feeding would include:
Head of bed 45 degrees
Patient should be on a regular diet to rebuild their swallowing ability
Have patient sit upright 90 degrees in bed or chair
All of the above
The Correct Answer is C
Choice A: Head of bed 45 degrees is not enough to prevent aspiration or choking, as the patient may still have difficulty swallowing and clearing their airway.
Choice B: Patient should be on a regular diet to rebuild their swallowing ability is not correct, as the patient may need a modified diet depending on their level of dysphagia or swallowing impairment. A regular diet may pose a risk of aspiration or choking.
Choice C: Have patient sit upright 90 degrees in bed or chair is correct, as this position helps the patient align their head and neck and use gravity to facilitate swallowing and prevent aspiration.
Choice D: All of the above is not correct, as only choice C is appropriate for assisting a stroke patient with feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Altered level of consciousness is not a sign/symptom of cerebral spinal fluid leakage, but rather a sign/symptom of increased intracranial pressure or brain injury.
Choice B: Painful headache is not a sign/symptom of cerebral spinal fluid leakage, but rather a sign/symptom of meningitis or sinusitis.
Choice C: Salty taste in their mouth, postnasal drip or clear fluid draining from the nose is a sign/symptom of cerebral spinal fluid leakage, as it indicates that the fluid is escaping from the brain or spinal cord through a tear or hole in the meninges or skull.
Choice D: All of the above is not correct, as only choice C is a sign/symptom of cerebral spinal fluid leakage.
Correct Answer is B
Explanation
Choice A: High blood pressure is not a side effect of IV Thrombolytic therapy TPA, but rather a contraindication or a reason not to use it. TPA can increase the risk of bleeding in patients with high blood pressure.
Choice B: Bleeding is the main side effect of IV Thrombolytic therapy TPA, as it dissolves blood clots and can cause bleeding in the brain or other parts of the body.
Choice C: Confusion is not a side effect of IV Thrombolytic therapy TPA, but rather a symptom of stroke. TPA can improve confusion by restoring blood flow to the brain.
Choice D: All of the above is not correct, as only bleeding is a side effect of IV Thrombolytic therapy TPA.
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