The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch.
What action by the new nurse would cause the precepting nurse to intervene?

The patient is lying in bed with their head elevated to 35 degrees.

The nurse provides thickened liquids per the orders.

The nurse does not rush the patient in eating each bite.

The nurse ensures that the patient’s food is minced.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The patient lying in bed with their head elevated to 35 degrees while eating could pose a risk for aspiration, especially for a patient with Huntington’s disease. Huntington’s disease is a neurodegenerative disorder that can cause difficulties with swallowing and motor control.
Therefore, it is recommended that the patient be as upright as possible, ideally in a seated position, during meals to reduce the risk of aspiration.
Choice B rationale

Providing thickened liquids is a common intervention for patients with Huntington’s disease who have difficulty swallowing. Thickened liquids are easier to control and swallow, reducing the risk of aspiration.
Choice C rationale
Not rushing the patient in eating each bite is a recommended practice. Patients with Huntington’s disease often have difficulty with motor control, including swallowing. Allowing the patient to take their time can help prevent choking and aspiration.
Choice D rationale
Ensuring that the patient’s food is minced is another recommended practice for patients with Huntington’s disease. Minced food is easier to chew and swallow, which can help prevent choking and aspiration.

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Correct Answer is C

Explanation

Choice C rationale
Patients with Ménière’s disease are often advised to limit or avoid foods high in sodium, such as canned soup. High sodium intake can increase fluid retention, which can exacerbate the symptoms of Ménière’s disease, such as vertigo, tinnitus, and hearing loss.
Choice A rationale
There is no specific recommendation for patients with Ménière’s disease to limit or avoid red meat. However, a balanced diet that includes lean proteins is generally recommended for overall health.
Choice B rationale
Frozen yogurt is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the sugar content, as high sugar intake can potentially trigger symptoms.

Choice D rationale
Shellfish is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the preparation method and any added sodium, which can exacerbate symptoms.

A. Prothrombin level B. Brain CT or MRI C. Chest x-ray D. Lumbar puncture

Correct Answer is B

Explanation

Choice A rationale

While prothrombin level is an important test in evaluating blood clotting disorders, it is not typically used in the initial diagnostic evaluations for a cerebrovascular accident (CVA) or stroke.
Choice B rationale
Brain CT or MRI scans are commonly used in the initial diagnostic evaluations for a CVA. These imaging tests can show bleeding in the brain, an ischemic stroke, a tumor, or other conditions.
Choice C rationale
A chest x-ray is not typically used in the initial diagnostic evaluations for a CVA. It is more commonly used to diagnose conditions affecting the lungs and heart.
Choice D rationale
A lumbar puncture, or spinal tap, may be used in some cases to help diagnose a CVA, but it is not typically part of the initial diagnostic evaluations.

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The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch. What action by the new nurse would cause the precepting nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge education to a patient newly diagnosed with Ménière’s disease. What food should the patient be instructed to limit or avoid?

Correct Answer is C

Explanation

A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?

Correct Answer is B

Explanation

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The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch.
What action by the new nurse would cause the precepting nurse to intervene?