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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Almonds do not contain a high percentage of water. They are a dry and crunchy snack with minimal water content, making them an inappropriate choice for maintaining hydration.
Choice B rationale:
Cheddar cheese is not a food with a high water content. It is a dairy product that has been processed and does not provide a significant source of water to help prevent dehydration.
Choice C rationale:
While whole-wheat bread may have some water content, it is not among the options with the greatest percentage of water. The moisture in bread is not as significant as in other options.
Choice D rationale:
Broccoli contains a substantial amount of water and is an excellent choice for maintaining hydration. It is a water-rich vegetable that can contribute to the body's water needs, making it a suitable recommendation for preventing dehydration.
Correct Answer is B
Explanation
Choice A rationale:
Distended neck veins - Distended neck veins are typically associated with increased fluid volume or right-sided heart failure. In the case of dehydration, the fluid volume is reduced, and the veins are more likely to appear collapsed rather than distended.
Choice B rationale:
Tachycardia - Dehydration leads to a reduction in blood volume and a subsequent decrease in blood pressure. To compensate for this drop in blood pressure, the heart rate tends to increase. Tachycardia (an elevated heart rate) is a compensatory mechanism aimed at maintaining an adequate cardiac output despite reduced circulating blood volume.
Choice C rationale:
Hypertension - Dehydration typically leads to decreased blood volume, which in turn results in decreased blood pressure. Hypertension, or high blood pressure, is not a common finding in dehydration. Instead, low blood pressure (hypotension) is more likely.
Choice D rationale:
Decreased respiratory rate - Dehydration primarily affects the cardiovascular system, leading to reduced blood volume and subsequent compensatory mechanisms such as increased heart rate. The respiratory rate is not directly influenced by dehydration, so a decreased respiratory rate would not be a typical finding.
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