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 C

Explanation

A. Legumes are plant-based sources of protein, but they are not considered complete proteins as they do not contain all essential amino acids in sufficient quantities.
B. Almonds are also a plant-based source of protein, but like legumes, they are not considered complete proteins.
C. Salmon is a complete protein because it contains all essential amino acids in sufficient quantities.
D. Gelatin is derived from collagen and is not a complete protein because it lacks certain essential amino acids.

A. "Increase your caloric intake before pregnancy to stabilize your metabolism." B. "Increase folic acid to 400 micrograms per day prior to getting pregnant." C. "Increase your total intake of seafood to 20 ounces per week." D. "Decrease ascorbic acid in your diet."

Correct Answer is B

Explanation

A. Increasing caloric intake before pregnancy without specific guidance can lead to unnecessary weight gain. It's essential for individuals to maintain a healthy weight before pregnancy, but there's no need to deliberately increase caloric intake.

B. Increasing folic acid intake to 400 micrograms per day prior to pregnancy is recommended to help prevent neural tube defects in the developing fetus. This is a crucial dietary guideline for women who are planning to become pregnant.

C. While seafood can be a source of important nutrients such as omega-3 fatty acids, consuming excessive amounts may expose the client to potential contaminants such as mercury. It's recommended to consume seafood in moderation and choose low-mercury options.
D. Ascorbic acid, or vitamin C, is important for overall health and is not typically restricted in the diet unless medically necessary. There's no need to decrease ascorbic acid intake in preparation for pregnancy.

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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

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Correct Answer is B

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