A nurse assisting with a staff in-service is discussing aspiration. Which of the following descriptions should the nurse include in the teaching as a manifestation dysphagia

Coughing, choking gagging, and drooling food

Swallowing more than once after taking a bite of food

Swallowing liquid immediately after taking a sip of a beverage

Highly sensitive gag reflex

Answer and Explanation

The Correct Answer is A

A. Coughing, choking, gagging, and drooling food: These are hallmark signs of dysphagia and possible aspiration. Difficulty swallowing can lead to aspiration of food or liquids into the airway, triggering protective reflexes like coughing and gagging.

B. Swallowing more than once after taking a bite of food: While this can be associated with difficulty swallowing, it is a subtle sign and not as clearly indicative of aspiration as choking or coughing.

C. Swallowing liquid immediately after taking a sip of a beverage: This reflects normal swallowing mechanics and does not indicate dysphagia.

D. Highly sensitive gag reflex: A strong gag reflex is actually a protective mechanism and not a sign of dysphagia. A diminished gag reflex would be more concerning.

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Correct Answer is B

Explanation

A. "Consume a low-fiber diet.": A high-fiber diet promotes bowel movement regularity.

B. "Increase your daily fluid intake.": Fluids help soften stool and promote bowel movements.

C. "Reduce your daily activity.": Physical activity stimulates peristalsis and helps relieve constipation.

D. "Try to defecate at different times of the day.": Establishing a regular time (especially after meals) promotes bowel training.

A. Magnesium hydroxide B. Orange juice C. Whole grain cereal D. Acetaminophen

Correct Answer is C

Explanation

A. Magnesium hydroxide: Although it is a laxative, it doesn't directly interfere with the chemical detection of blood in the stool.

B. Orange juice: Not known to interfere with guaiac-based FOBT results.

C. Whole grain cereal: High-fiber foods, including whole grains, may irritate the GI tract and cause minor bleeding, leading to a false-positive FOBT.

D. Acetaminophen: Unlike NSAIDs, acetaminophen does not increase the risk of GI bleeding, so it's generally safe.

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A nurse assisting with a staff in-service is discussing aspiration. Which of the following descriptions should the nurse include in the teaching as a manifestation dysphagia

Nursing Test Bank

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