A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke.

Which of the following instructions should the nurse include?

Encourage brief exercise before meals to promote appetite.

Place the client with the head reclined back to facilitate swallowing.

Encourage the client to take small bites.

Place food in the affected side of the mouth.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.

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Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:
Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload.
Choice B rationale:
Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload.
Choice C rationale:
Increased temperature is not typically associated with fluid overload.
Choice D rationale:
Increased hematocrit would indicate dehydration, not fluid overload.
Choice E rationale:
Increased blood pressure can occur due to increased blood volume in fluid overload.

A. Clean the perineal area with an antiseptic solution daily. B. Irrigate the catheter once each shift. C. Check the catheter tubing for kinks or twisting. D. Replace the catheter every 3 days.

Correct Answer is C

Explanation

Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.

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A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.).

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

Correct Answer is C

Explanation

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A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke.

Which of the following instructions should the nurse include?