A nurse is caring for a client.

Exhibits

A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

I will have to stop watching television while I eat.

I will look up at the ceiling when I Swallow.

I won’t be able to eat nuts anymore.

I shouldn’t drink liquids while I have food in my mouth.

My food will have to be the consistency of pudding.

I can have cream soups on this diet

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Understanding: A, D, E, F

No understanding: B, C
A.   This indicates understanding. Distractions during meals are discouraged to focus on chewing and swallowing.
B.   This indicates no understanding. This is not a recommended technique for managing dysphagia. It's important to maintain a neutral head position during swallowing.
C.   This indicate no understanding. Nuts are a common choking hazard and are often restricted for individuals with dysphagia to prevent aspiration.
D.   This is a correct understanding. It's important to separate drinking liquids and eating to prevent choking and aspiration.
E.   This is a correct understanding. Depending on the severity of dysphagia, a soft or pureed diet may be recommended.
F.   Cream soups are generally allowed on a dysphagia diet, as they are usually smooth and do not pose a high risk of aspiration.

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Free Nursing Study Resources

Correct Answer is ["25"]

Explanation

To answer this question, you need to use the formula:

gtt/min = (Volume x Drop factor) / Time

Plug in the given values:

gtt/min = (100 mL x 15 gtt/mL) / 60 min

Simplify and solve:

gtt/min = 1500 gtt / 60 min gtt/min = 25 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 25 gtt/min.

A. Use a new sponge each time the surgical site is scrubbed. B. Cleanse the surgical site with a povidone-iodine solution. C. Shave the client’s hair near the surgical site. D. Scrub the surgical site starting at the outer edge and moving inwards

Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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A nurse is caring for a client. Exhibits A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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A nurse is caring for a client.

Exhibits

A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?