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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is ["1000"]
Explanation
Step 1: Calculate the total caloric reduction needed per week to lose 0.9 kg (2 lb). 2 lb × 3,500 calories/lb = 7,000 calories.
Step 2: Divide the total weekly caloric reduction by the number of days in a week. 7,000 calories ÷ 7 days = 1,000 calories/day.
Final answer: 1,000.
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