A nurse is developing a plan of care for a client who is recovering from a stroke and is experiencing dysphagia and right-sided weakness. Which of the following interventions should the nurse include in the plan of care?

Provide a nonskid placemat for the client at meals.

Instruct the client to tilt their head back when swallowing.

Instruct the client to chew food on the right side of their mouth.

Provide narrow-grip utensils during meals.

Answer and Explanation

The Correct Answer is A

A.   Providing a nonskid placemat can help prevent spills and accidents during meals, especially for a client with right-sided weakness who may have difficulty with coordination and balance.
B.   Instructing the client to tilt their head back when swallowing is not recommended and may increase the risk of aspiration, particularly for a client with dysphagia.
C.   Instructing the client to chew food on the right side of their mouth may not be feasible or effective, especially if there is weakness on the right side.
D.   Providing narrow-grip utensils may not directly address the client's needs related to dysphagia and right-sided weakness.

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Correct Answer is A

Explanation

A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.

A. Legumes B. Poultry C. Eggs D. Nuts E. Grains

Correct Answer is ["B","C"]

Explanation

A. Legumes are a good source of protein but are considered an incomplete protein because they do not contain all essential amino acids.
B. Poultry is a complete protein as it contains all essential amino acids necessary for the human body.
C. Eggs are also a complete protein, providing all essential amino acids.
D. Nuts, similar to legumes, are an incomplete protein because they lack one or more of the essential amino acids.
E. Grains are typically incomplete proteins as they do not have all the essential amino acids that the body requires. However, when combined with other incomplete proteins, they can provide a complete protein profile.

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A nurse is developing a plan of care for a client who is recovering from a stroke and is experiencing dysphagia and right-sided weakness. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

Correct Answer is A

Explanation

A nurse is teaching a client about protein. Which of the following foods should the nurse include in the teaching as a complete protein? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

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