A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Aspiration (Option 1): The client's report of feeling food stuck in their mouth, along with the noted hoarseness, indicates difficulty swallowing (dysphagia), which puts them at risk for aspiration. Aspiration occurs when food or liquid enters the airway instead of the esophagus, which can lead to serious complications, including pneumonia.
Dysphagia (Option 2): The presence of dysphagia, or difficulty swallowing, directly supports the risk for aspiration. If the client is unable to swallow safely, there is an increased likelihood of aspiration occurring during eating or drinking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Starting mammograms at age 40 is recommended by various health organizations for average-risk women, making this the correct choice.
B. Breast ultrasounds are not typically recommended as routine screening for average-risk women; mammograms are preferred.
C. While breast self-examinations can be beneficial, starting them at age 35 is not a standard recommendation; they are often advised from age 20.
D. Annual breast examinations by a provider starting at age 30 is not a common guideline; it is typically recommended to have clinical exams every 1 to 3 years starting at age 20, and annually after age 40.
Correct Answer is C
Explanation
A. Urinating after specimen collection can contaminate the stool sample; the client should be instructed to collect the stool first.
B. Stool specimens should be kept cool (usually in a refrigerator) to prevent decomposition, not in a warm area.
C. Avoiding placing toilet tissue in the bedpan after defecation is crucial to prevent contamination of the stool specimen, indicating understanding of proper collection techniques.
D. The typical recommendation for stool specimen collection is usually larger than 1.3 cm (0.5 in) and varies based on the type of test; clarity on this guideline is important.
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