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?
Increased hunger
Garbled voice
Sneezing
Rapid chewing
The Correct Answer is B
A. Increased hunger: Dysphagia is not typically associated with increased hunger.
B. Garbled voice: Difficulty swallowing (dysphagia) can result in a garbled or hoarse voice due to food or liquid entering the airway.
C. Sneezing: While sneezing is not typically associated with dysphagia, it can be a response to irritants in the nasal passages.
D. Rapid chewing: Rapid chewing is not necessarily indicative of dysphagia and may occur for various reasons, such as habit or anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Wearing shoes with smooth soles may increase the risk of slipping and falling, especially for a client with mobility issues. It is not a safe recommendation.
B. Moving the cane forward 18 inches is too far and may lead to instability during ambulation.
Typically, the cane should be moved forward only about 6 to 12 inches.
C. Holding the cane on the stronger side provides better support and stability, as it allows the client to bear weight on the stronger side while using the cane for balance and support on the weaker side.
D. Moving the stronger leg forward before the weaker leg is a correct step in the gait pattern when using a cane or other assistive device for walking. However, the statement does not
specifically address the use of the quad cane.
Correct Answer is A
Explanation
A. The hypoglossal nerve is tested by checking for tongue deviation.
B. This action tests the facial nerve
C. This action tests the trigeminal nerve
D. This action tests the spinal accessory nerve
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