A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?

Rapid chewing

Garbled voice

Sneezing

Increased hunger

Answer and Explanation

The Correct Answer is B

A. Rapid chewing is not specific to dysphagia.

B. A garbled or "wet" voice is often a sign of dysphagia, as it can indicate difficulty with swallowing and risk for aspiration.

C. Sneezing is not typically associated with swallowing difficulties.

D. Increased hunger is unrelated to dysphagia and does not indicate difficulty swallowing.

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Correct Answer is B

Explanation

A. Documenting self-care instruction is vague and lacks specificity on the client's physical status postpartum.

B. Documenting the status of the episiotomy provides essential information regarding healing and recovery, a priority in postpartum care.

C. Tracking fluid intake may be relevant for hydration status but is less critical than documenting the episiotomy for postpartum assessment.

D. Although an elevated temperature may indicate infection, it would be secondary to recording the condition of an episiotomy, which directly relates to postpartum recovery and potential complications.

A. "I drink two hot cups of coffee each morning." B. "I take a prescribed opioid pain medication at bedtime." C. "I love to eat apples and black-eyed peas." D. "I drink an average of 2,000 milliliters of water daily."

Correct Answer is B

Explanation

A. Drinking coffee can actually stimulate bowel movements and may help prevent constipation.

B. Opioid pain medications are known to slow bowel motility, which can lead to constipation, making this a risk factor for impaired bowel elimination.

C. Eating fiber-rich foods like apples and black-eyed peas can aid in maintaining regular bowel movements.

D. Adequate hydration, like drinking 2,000 mL of water daily, is beneficial for healthy bowel function and helps to prevent constipation.

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A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

Correct Answer is B

Explanation

A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client. Exhibits Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?