A nurse is caring for a client.
Click to specify if the client statements indicate understanding or no understanding.
"I will have to stop watching television while I eat."
"I won't be able to eat nuts anymore."
"My food will have to be the consistency of pudding."
"I can have cream soups on this diet."
"I will look up at the ceiling when I swallow."
"I shouldn't drink liquids while I have food in my mouth."
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"D"},"E":{"answers":"D"},"F":{"answers":"A"}}
"I will have to stop watching television while I eat." Understanding: Multitasking while eating can increase the risk of choking, so focusing on the meal is important.
"I won't be able to eat nuts anymore." Understanding: Nuts are not appropriate for a Level 3 dysphagia diet due to their texture, which can be a choking hazard.
"My food will have to be the consistency of pudding." Understanding: A Level 3 dysphagia diet involves foods with a pudding-like consistency to minimize choking risk.
"I can have cream soups on this diet." No Understanding: Cream soups are typically too thin for a Level 3 dysphagia diet, which requires thicker consistencies.
"I will look up at the ceiling when I swallow." No Understanding: The correct practice is to keep the head level or slightly tilted forward, not to look up at the ceiling.
"I shouldn't drink liquids while I have food in my mouth." Understanding: Drinking liquids while chewing food can increase the risk of aspiration or choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client cannot travel by air due to security screening is incorrect; clients with ICDs can travel by air but should inform security personnel about the ICD.
B. The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD’s functioning.
C. The client can carry his ICD in a small pocket is incorrect; the ICD is implanted and does not need to be carried.
D. The client should avoid the use of small electric devices is not entirely accurate; the client should follow specific guidelines but not avoid all small devices.
Correct Answer is []
Explanation
Digoxin Toxicity: The client’s symptoms (nausea, vomiting, diarrhea, weakness), vital signs (bradycardia), and lab results (high digoxin level, low potassium and magnesium) suggest digoxin toxicity.
Cardiac Monitor: To detect any arrhythmias resulting from digoxin toxicity.
Icterus: To assess liver function, which could be impacted in severe toxicity.
Electrolytes: Imbalances in potassium and magnesium can worsen digoxin toxicity and need to be corrected.
Fever: The fever might indicate an infection or inflammatory process, which can affect treatment and recovery.
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