A nurse is caring for a client who has dysphagia following a stroke.When assisting the client at mealtime, which of the following actions should the nurse plan to take?
Encourage the client to use a straw.
Provide oral care before meals.
Schedule physical therapy directly before meals.
Instruct the client to tilt their head back to facilitate swallowing.
The Correct Answer is B
Choice A rationale
Using a straw can increase the risk of aspiration in clients with dysphagia as it forces liquid directly to the back of the throat without adequate control.
Choice B rationale
Providing oral care before meals can help stimulate the appetite and ensure that the mouth is clean, reducing the risk of infection and improving the overall eating experience.
Choice C rationale
Scheduling physical therapy directly before meals can cause fatigue, making it more difficult for the client to eat safely and effectively.
Choice D rationale
Tilting the head back can increase the risk of aspiration. The safer method for clients with dysphagia is usually to keep the head in a neutral or slightly forward position when swallowing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Aprepitant is an antiemetic used to prevent nausea and vomiting, particularly in chemotherapy patients. Absence of dizziness is not a primary therapeutic effect of this medication.
Choice B rationale
Decreased incisional pain is not related to the function of aprepitant. Pain management involves different classes of medications, such as analgesics or opioids.
Choice C rationale
Decreased dysrhythmias are not associated with aprepitant's mechanism of action. Cardiac rhythm management requires specific medications targeting heart rhythm disorders.
Choice D rationale
Absence of nausea is a primary therapeutic effect of aprepitant, which works by blocking neurokinin-1 receptors involved in inducing nausea and vomiting. It is effective in managing nausea in patients undergoing chemotherapy. .
Correct Answer is C
Explanation
Choice A rationale
The flu shot provides protection for about one year. It is recommended to receive the flu shot annually for continued protection, especially as flu strains can vary each year.
Choice B rationale
The hepatitis B vaccine does not require annual administration. It is typically given in a series of shots over a few months and provides long-term protection.
Choice C rationale
Performing a breast self-exam a week after each menstrual period is ideal because hormonal changes that cause breast tissue to be tender or lumpy will be minimal, making it easier to detect any unusual changes.
Choice D rationale
Testicular self-exams are recommended to be done monthly, not every 6 months. Regular monthly exams help in early detection of any changes or abnormalities.
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