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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Gloves should be removed first to prevent contamination of the hands when removing other protective equipment.
B. The gown can be removed after gloves to prevent contamination of clothing underneath.

C. Goggles should be removed after gloves and gown to prevent contamination of the face.

D. The mask should be removed last to provide continued protection against airborne contaminants.

A. Provide the teaching without expecting the client to respond. B. Speak with a loud voice while providing the information. C. Avoid the use of facial gestures during the instructions. D. Determine the client's ability to use a communication board.

Correct Answer is D

Explanation

A. Clients with expressive aphasia have difficulty expressing themselves verbally but can often understand spoken language. It's important for the nurse to provide the teaching without
expecting a verbal response from the client. The client may still benefit from receiving information even if they cannot verbally respond.
B. Speaking loudly is not helpful for clients with expressive aphasia and may increase confusion or frustration. The nurse should speak clearly and at a normal volume.

C. Facial gestures can aid in communication for clients with expressive aphasia by providing additional cues. The nurse should use facial expressions to enhance communication.
D.Clients with expressive aphasia have difficulty expressing themselves verbally. Assessing the client's ability to use alternative communication methods, such as a communication board, can help facilitate effective communication and understanding of the teaching.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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