A nurse is assisting with the care of a client who had a stroke

Exhibits

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Mucous membranes pink, skin warm and dry.

Coughing and clearing throat when eating.

Voice hoarse after swallowing

Temperature 38 °C (100.4°F)

Bilateral breath sounds with wheezing heard in upper lobes.

Oxygen saturation 88% on room air

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?

A nurse is planning care for a client who has dysphagia. The nurse should plan to assist with the request of a referral to which of the following members of the health care team?

A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. The client reports anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

A nurse is reinforcing teaching with a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?

A nurse is caring for a client who has tolerated a clear liquid diet but not voided for 8 hours following surgery. Which of the following actions should the nurse take first?

The nurse received an order to administer parenteral nutrition for a malnourished patient. The nurse knows it can must be administered through which of the following methods?

A nurse is assisting with teaching a class about the process of digestion. The nurse should include that food is transported through the gastrointestinal (GI) tract starting from which of the following locations?

A nurse is completing the 8-hr I&O record for a client who consumed 4 oz of clear soda, 1 piece of toast. 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth. The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)