Exhibits
A nurse is providing discharge teaching. Which of the following client statements indicate an understanding of the teaching?
Client Statements
"I will look up at the ceiling when I swallow."
"I will have to stop watching television while I eat."
"My food will have to be the consistency of pudding."
"I can have cream soups on this diet."
"I shouldn't drink liquids while I have food in my mouth."
"I won't be able to eat nuts anymore."
Correct Answer : B,C,E,F
A. "I will look up at the ceiling when I swallow.". The recommended position for swallowing is typically sitting upright with the chin slightly tucked.
B. "I will have to stop watching television while I eat." This indicates an understanding of the importance of focusing on eating and avoiding distractions.
C. "My food will have to be the consistency of pudding." This indicates understanding of the Level 3 dysphagia diet, which requires foods to be moist and easily swallowed.
D. "I can have cream soups on this diet." While cream soups might seem like a good option, they can be too thick for a Level 3 dysphagia diet. The consistency should be more like a thin purée.
E. "I shouldn't drink liquids while I have food in my mouth." This demonstrates understanding of the importance of avoiding choking hazards.
F. "I won't be able to eat nuts anymore." This indicates understanding of the restrictions on hard, crunchy foods on a Level 3 dysphagia diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Spinal cord degeneration is a general term for the deterioration of the spinal cord and doesn't specifically describe the patient's posture.
B. Decorticate posturing is characterized by the arms flexed and adducted, with the wrists and fingers flexed. The legs are extended and adducted, with the feet plantar flexed.
C. Atypical hyperreflexia refers to exaggerated reflexes, not a specific posture.
D. Decerebrate posturing is characterized by the arms extended and pronated, with the wrists and fingers flexed. The legs are stiffly extended with plantar flexion.
Correct Answer is ["B","C","D","E"]
Explanation
A. Bradycardia is not a typical symptom of meningitis. Instead, meningitis is more likely to cause tachycardia (increased heart rate) as part of the body's response to fever and infection. Bradycardia would not be an expected sign in this context.
B. Fever and chills are common symptoms of meningitis. The infection and inflammation associated with meningitis can cause an elevated body temperature as the body responds to the infection.
C. Nuchal rigidity is a classic sign of meningitis. The inflammation of the meninges causes muscle stiffness and discomfort when trying to bend the neck forward, which is a common finding in this condition.
D. Severe headache is a common symptom of meningitis. The inflammation and irritation of the meninges often result in intense and persistent headaches, which can be one of the primary complaints of patients with meningitis.
E. Brudzinski's sign is a classic clinical sign of meningitis. It indicates meningeal irritation and is often assessed along with other signs to help diagnose meningitis.
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