A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

Hoarse voice.

Weight gain.

Expressive aphasia.

Continuous smiling.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
A hoarse voice is a manifestation of dysphagia, which is difficulty swallowing. Dysphagia can occur after a stroke due to weakness or paralysis of the muscles involved in swallowing. It can lead to problems like aspiration, where food or liquid enters the airway instead of the digestive tract, causing coughing, choking, and changes in the voice.
Choice B rationale:
Weight gain is not typically associated with dysphagia. Dysphagia tends to lead to weight loss rather than weight gain, as individuals may avoid eating due to the discomfort and difficulty associated with swallowing.
Choice C rationale:
Expressive aphasia is not directly related to dysphagia. Expressive aphasia is a language disorder that impairs a person's ability to produce language. It's caused by damage to specific areas of the brain, often not directly linked to swallowing difficulties.
Choice D rationale:
Continuous smiling is not a typical manifestation of dysphagia. Dysphagia is related to difficulties in swallowing and does not typically manifest as continuous smiling. It's more likely to cause distress, discomfort, and changes in vocal quality.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale:

An HbA1c level of 5% is within the target range for good diabetes control. HbA1c represents the average blood glucose level over the past two to three months, and an HbA1c of 5% indicates well-managed blood glucose levels.

Choice B rationale:

An LDL level of 64 mg/dL is within the recommended range for individuals at risk for heart disease. Lower LDL levels are associated with reduced risk, but 64 mg/dL is not a concerning value and is not typically associated with an increased risk of coronary heart disease.

Choice C rationale:

A total cholesterol level of 173 mg/dL is within the desirable range for adults. While it's important to consider both LDL and HDL cholesterol levels, the total cholesterol value alone is not sufficient to indicate a significant risk of coronary heart disease.

Choice D rationale:

A fasting glucose level of 140 mg/dL indicates hyperglycemia (elevated blood glucose) and is a significant risk factor for coronary heart disease. Hyperglycemia is associated with increased oxidative stress, inflammation, and vascular damage, all of which contribute to the development of cardiovascular complications in individuals with diabetes. It's crucial to manage blood glucose levels to reduce the risk of heart disease and other diabetes-related complications.

A. Limit protein intake. B. Increase potassium intake. C. Limit calcium intake. D. Increase phosphorus intake.

Correct Answer is A

Explanation

Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice Drationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice Crationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a client's laboratory results. The nurse should recognize which of the following results places the client at risk for coronary heart disease.

Correct Answer is D

Explanation

A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

A nurse is teaching a group of clients about foods containing protein. Which of the following foods should the nurse include in the teaching as a complete protein?

A nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?

A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?

A nurse is providing teaching about natural food sources that contain folate to a client who plans to become pregnant. The nurse should identify which of the following foods contains the highest amount of folate.

A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.