A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

Dumping syndrome

Aspiration

Gastroesophageal reﬂux disease

Peptic ulcer disease

Answer and Explanation

The Correct Answer is B

Choice A reason: Dumping syndrome is not commonly associated with dysphagia post-stroke.

Choice B reason: Aspiration is a significant risk for patients with dysphagia following a stroke and should be closely monitored to prevent complications like aspiration pneumonia.

Choice C reason: Gastroesophageal reﬂux disease may occur but is not the most immediate concern for stroke patients with dysphagia.

Choice D reason: Peptic ulcer disease is not directly related to dysphagia and is less likely to be an immediate complication post-stroke.

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Correct Answer is A

Explanation

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

A. A client who told an assistive personnel he is short of breath B. A client who has a prescription for discharge C. A client who received oral pain medication 30 minutes ago D. A client who is scheduled for an abdominal x-ray and is awaiting transport

Correct Answer is A

Explanation

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

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A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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