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.

Answer and Explanation

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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Free Nursing Study Resources

Correct Answer is ["10"]

Explanation

Step 1: (25 mg ÷ 12.5 mg) × 5 mL = 2 × 5 mL = 10 mL.

Answer: 10 mL.

A. "I will apply heat to my affected ankle to decrease swelling.”. B. "I will wrap my affected ankle with an elastic bandage.”. C. "I can dangle my affected ankle from the edge of the bed.”. D. "I can bear full weight on my affected ankle.”.

Correct Answer is B

Explanation

Choice A rationale

Applying heat to a sprained ankle can increase swelling and should be avoided. Ice should be used instead to reduce swelling.

Choice B rationale

Wrapping the affected ankle with an elastic bandage helps to provide support, reduce swelling, and immobilize the joint.

Choice C rationale

Dangling the affected ankle can cause further injury and increase swelling. The ankle should be elevated to reduce swelling.

Choice D rationale

Bearing full weight on a sprained ankle can exacerbate the injury. The client should avoid putting weight on the ankle until it has healed sufficiently.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["10"]

Explanation

A nurse is reinforcing teaching with a client who has a grade 2 ankle sprain.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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