A nurse is assessing a client who is recovering from a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?

Abdominal distention

Rhinitis

Echolalia

Drooling

Answer and Explanation

The Correct Answer is D

A. Abdominal distention: Abdominal distention is not a typical manifestation of dysphagia.
B. Rhinitis. Rhinitis is inflammation of the nasal mucous membrane and is not related to dysphagia.
C. Echolalia: Echolalia is the repetition of another's spoken words and is not a symptom of dysphagia.
D. Drooling: This is correct. Drooling is a common manifestation of dysphagia due to difficulty in swallowing saliva

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Correct Answer is D

Explanation

A. Airborne precautions are used for diseases that spread through airborne particles, such as tuberculosis and varicella, not bacterial meningitis.
B. Protective environment precautions are used for clients with severely compromised immune systems, not for preventing the spread of bacterial meningitis.
C. Contact: Contact precautions are used for infections spread by direct contact with the patient or their environment, such as MRSA or C. difficile, not bacterial meningitis.
D. Droplet: This is correct. Droplet precautions are required for bacterial meningitis as it spreads through large respiratory droplets.

A. Verify the client's understanding beyond affirmative nodding. B. Encourage the client to drink iced water to manage an elevated temperature. C. Avoid using gestures when communicating with the client. D. Inform the client that herbal remedies are not effective in treating tuberculosis.

Correct Answer is A

Explanation

A. Verify the client's understanding beyond affirmative nodding. It's crucial to ensure that the client truly understands the information, as nodding may not always indicate comprehension.
B. Encourage the client to drink iced water to manage an elevated temperature. This advice is not culturally specific and may not be appropriate for all clients.
C. Avoid using gestures when communicating with the client. Gestures can be helpful but should be used with caution as they can have different meanings in different cultures.
D. Inform the client that herbal remedies are not effective in treating tuberculosis. This dismisses the client's cultural beliefs and practices and can be seen as culturally insensitive. Instead, the nurse should provide evidence-based information and work with the client's beliefs.

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A nurse is assessing a client who is recovering from a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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