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 B

Explanation

Choice A Rationale: Vitamin A is essential for healthy skin, hair, nails, and bones, and acts as an antioxidant. However, excessive amounts can be harmful and even modest doses previously considered safe can increase the risk of fracture.
Choice B Rationale: Fortified milk, fatty fish, and cheese are rich in calcium and vitamin D, which are crucial for bone health. Calcium is necessary for bone strength, while vitamin D is required for calcium absorption in the body.
Choice C Rationale: While a calcium supplement can help maintain bone density and reduce the risk of fractures, it is generally recommended to get calcium from dietary sources for better absorption and additional nutrients.
Choice D Rationale: Orange juice, lean meats, and egg whites can contribute to overall health, but they do not directly address bone health as effectively as options rich in calcium and vitamin D. Orange juice can be beneficial if fortified, but lean meats and egg whites are not primary sources of calcium or vitamin D.

A. One medium banana B. One large tomato C. 1 cup broccoli D. 1 cup green grapes

Correct Answer is C

Explanation

A. Bananas are not particularly high in calcium compared to other foods listed.

B. Tomatoes are not significant sources of calcium.

C. Broccoli is a good source of calcium, with approximately 43 mg of calcium per cup.

D. Green grapes are not significant sources of calcium.

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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

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