A nurse is ordering a breakfast meal tray for a client who has dysphagia and a prescription for a mechanically altered diet. Which of the following foods should the nurse select?

Yogurt and granola

Wheat toast with butter

Pancakes with syrup

Banana and nut muffin

Answer and Explanation

The Correct Answer is C

A. Yogurt and granola is not appropriate because granola is hard and can be difficult to swallow, increasing the risk of aspiration.
B. Wheat toast with butter is not appropriate because toast is dry and can be difficult to chew and swallow, posing a choking hazard.
C. Pancakes with syrup are soft and easy to chew, making them a suitable choice for a mechanically altered diet. The syrup adds moisture, further aiding swallowing.
D. Banana and nut muffin is not appropriate because muffins can be dry and crumbly, and nuts are a choking hazard for clients with dysphagia.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

The nurse should prepare to administer naloxone and oxygen by face mask 10 L/min.

Rationale:

Naloxone is used to reverse opioid-induced respiratory depression, which is a potential risk during moderate sedation.
Oxygen by face mask 10 L/min is necessary to maintain adequate oxygenation during and after sedation, as respiratory depression can occur.

Acetaminophen is not used for immediate management of sedation-related complications.
An additional dose of fentanyl or propofol would deepen sedation, not manage its complications.
Propranolol is a beta-blocker that is not indicated in this situation.

A. Reinsert the protruding intestinal tissue. B. Place the client in Trendelenburg position. C. Cover the wound with a saline-soaked dressing. over D. Monitor vital signs every 30 min.

Correct Answer is C

Explanation

A. Reinserting the protruding intestinal tissue is inappropriate and can cause further injury or infection. The nurse should keep the tissue moist and protected until surgical intervention.
B. Placing the client in Trendelenburg position is incorrect because it does not reduce tension on the wound. Instead, the client should be placed in a low Fowler's position with knees slightly flexed to reduce strain.
C. Covering the wound with a sterile saline-soaked dressing is the priority action to keep the tissue moist and prevent further contamination or damage until the provider can intervene.
D. Monitoring vital signs every 30 minutes is important but not the priority action. The nurse should immediately cover the wound first, then monitor for signs of shock or infection.

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A nurse is ordering a breakfast meal tray for a client who has dysphagia and a prescription for a mechanically altered diet. Which of the following foods should the nurse select?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should prepare to administer dropdown and dropdown

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like "something opened up." The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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