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

Hoarse voice

Expressive aphasia

Continuous smiling

Weight gain

Answer and Explanation

The Correct Answer is A

A.   A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B.   Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C.   Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D.   Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.

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Correct Answer is A

Explanation

A. A heart rate of 118/min suggests tachycardia, which is a compensatory mechanism in response to fluid volume deficit. The body increases heart rate to maintain cardiac output when fluid volume is low.
B. A central venous pressure of 25 mm Hg may indicate fluid volume overload rather than deficit. It suggests increased venous pressure, possibly due to excess fluid.
C. A blood pressure of 152/90 mm Hg is within the normal range and does not specifically indicate fluid volume deficit.
D. A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate fluid volume deficit.

A. Take a folic acid supplement while on this medication. B. Increase vitamin C intake while taking this medication. C. Avoid taking this medication with milk products. D. Eliminate raw fruits and vegetables until 2 weeks after completing this medication.

Correct Answer is C

Explanation

A. Tetracycline antibiotics do not interfere with folic acid absorption, so there's no need to specifically take a folic acid supplement while on this medication.
B. Tetracycline antibiotics can bind to calcium, iron, and other minerals in the gastrointestinal tract, reducing their absorption. Increasing vitamin C intake is not necessary and does not affect the absorption of tetracycline.

C. Taking tetracycline with milk products or other dairy foods can significantly decrease its absorption and effectiveness. It's essential to advise the client to avoid taking tetracycline with milk, yogurt, cheese, or other dairy products.
D. There's no need to eliminate raw fruits and vegetables while taking tetracycline. It's important to maintain a balanced diet unless otherwise instructed by a healthcare provider.

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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 in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for tetracycline. Which of the following nutritional considerations should the nurse include in the teaching?

Correct Answer is C

Explanation

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