The nurse is caring for the client who has dysphagia following an ischemic stroke. The client is ordered a pureed diet starting today. Which intervention would be appropriate for this client?

Delegate the feeding to the nursing student.

Place the food on the affected side of the mouth.

Keep the television off while feeding the client.

Ensure the client's head of the bed is less than 30 degrees.

Answer and Explanation

The Correct Answer is C

A.   While the nursing student may assist with feeding, the nurse should always assess the client's swallowing ability and provide direct supervision to ensure the client's safety.
B.   Placing food on the affected side of the mouth can increase the risk of aspiration. The food should be placed on the unaffected side of the mouth.
C.   Distractions can impair the client's ability to focus on swallowing and increase the risk of aspiration. A quiet environment can help the client concentrate on eating.
D.   The head of the bed should be elevated to at least 30 degrees during and after feeding to reduce the risk of aspiration.

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Correct Answer is C

Explanation

A. This choice is not relevant to reducing the risk of cervical cancer. Hormone replacement therapy (HRT) is primarily used to manage symptoms of menopause and does not have a protective effect against cervical cancer.
B. While colposcopy is a diagnostic procedure used to evaluate abnormal cervical findings, it is not a routine screening method. The primary screening method for cervical cancer is the Pap test (Papanicolaou test) combined with HPV (human papillomavirus) testing. Colposcopy is usually performed after an abnormal Pap test result, not on a yearly basis for general screening.
C. Utilizing safer sex methods, such as consistent use of condoms and reducing the number of sexual partners, can help decrease the risk of acquiring HPV, which is the primary cause of cervical cancer. Promoting safe sexual practices is a key component of cervical cancer prevention.
D. This choice is not effective for reducing the risk of cervical cancer. While vaginal ultrasounds may be used for various gynecological assessments, they are not a screening tool for cervical cancer and do not reduce the risk of developing the disease.

A. Administer aspirin for bone pain B. Place the client in high Fowler's position C. Apply direct pressure to the puncture site D. Assess and document vital signs E. Initiate neutropenic precautions

Correct Answer is ["C","D"]

Explanation

A. Aspirin can increase the risk of bleeding and is typically contraindicated in patients who have undergone procedures like bone marrow aspiration. Instead, acetaminophen may be recommended for pain relief, as it does not have blood-thinning effects.
B. After a bone marrow aspiration, the donor is typically advised to lie flat or in a comfortable position to minimize discomfort and reduce the risk of bleeding. High Fowler's position may not provide the necessary comfort or support needed post-procedure.
C. Applying direct pressure to the puncture site is a critical intervention to minimize bleeding and promote clotting at the site of the aspiration. The nurse should apply pressure for a sufficient amount of time as per protocol.
D. Monitoring vital signs is important after any invasive procedure to detect any complications early, such as bleeding or signs of shock. Documenting vital signs also ensures continuity of care.
E. This choice is not applicable immediately after bone marrow aspiration for a donor. Neutropenic precautions are typically implemented for patients who have low white blood cell counts due to chemotherapy or other conditions. Bone marrow donors do not require these precautions immediately after donation unless there is a specific concern for infection or a significant drop in white blood cell counts.

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The nurse is caring for the client who has dysphagia following an ischemic stroke. The client is ordered a pureed diet starting today. Which intervention would be appropriate for this client?

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Naxlex Comprehensive Predictor Exams

Which one of the following topics should the nurse include in a community health promotion seminar to illustrate ways to reduce the risk of cervical cancer?

Correct Answer is C

Explanation

Which nursing intervention(s) should be employed when caring for the bone marrow donor immediately following a bone marrow aspiration? (SELECT ALL THAT APPLY)

Correct Answer is ["C","D"]

Explanation

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