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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1680"]
Explanation
We'll use milliliters (mL) as the standard unit. There are approximately 30 mL in 1 ounce.
The client's intake from the coffee, beef broth, gelatin, and water is 8 oz + 8 oz + 6 oz + 24 oz, which equals 46 oz.
Converting ounces to milliliters, we get: 46 oz * 30 mL/oz = 1380 mL.
Adding the IV fluids, the total intake is 300 mL + 1380 mL = 1680 mL. The client's total intake is 1680 mL.
Correct Answer is C
Explanation
A: Cooking in a stainless steel skillet does not increase the amount of iron in food. Iron skillets are known to increase iron content in food, not stainless steel.
B: Drinking iced tea with meals can actually decrease iron absorption. Tea contains tannins, which bind to iron and can inhibit its absorption.
C: Fish and poultry are indeed primary sources of heme iron, which is more easily absorbed by the body than non-heme iron found in plant sources.
D: Drinking orange juice with iron supplements can increase absorption. The vitamin C in orange juice enhances the absorption of iron.
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