A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should the nurse recommend?
Apple juice
Oatmeal
Broth
Toast
The Correct Answer is B
A. Apple juice: Thin liquids like apple juice can be difficult for clients with dysphagia to control, increasing the risk of aspiration. These should generally be thickened or avoided based on the client’s swallowing ability.
B. Oatmeal: Soft, pureed, or thick foods like oatmeal are easier to swallow and reduce the risk of aspiration. Oatmeal has a cohesive texture that allows safer swallowing for clients with dysphagia.
C. Broth: Clear liquids such as broth are thin and can easily enter the airway, increasing the risk of choking or aspiration in clients with swallowing difficulties.
D. Toast: Dry, hard foods like toast can be difficult to chew and form into a cohesive bolus, making swallowing unsafe for clients with dysphagia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Report to the nurse manager: Reporting suspected chemical impairment to the nurse manager is the appropriate action because it ensures the concern is addressed through proper channels and in accordance with facility policy. This protects client safety, supports the impaired nurse, and allows for formal investigation and intervention.
B. Set up a time to meet with the nurse: Confronting the nurse directly may be unsafe, delay necessary intervention, and place clients at risk. Addressing the issue through the manager ensures immediate attention while maintaining professional and legal standards.
C. Assume care of the nurse's assigned clients: While client safety is critical, simply taking over assignments does not address the underlying concern or ensure the impaired nurse receives evaluation and support. Reporting is still required.
D. Ask another staff nurse to confirm the suspicion: Seeking confirmation from peers can lead to gossip or breaches of confidentiality and does not follow established protocols. Concerns should be reported through formal channels to protect clients and staff.
Correct Answer is D
Explanation
A. Candidiasis: Candidiasis is a common fungal infection and is not a nationally notifiable disease. Reporting to the CDC is not required for routine cases.
B. Pelvic inflammatory disease: PID is a complication of sexually transmitted infections, but it itself is not a reportable condition. The underlying infection, if it is a notifiable STI, may need to be reported instead.
C. Methicillin-resistant Staphylococcus aureus: MRSA infections acquired in the community or healthcare settings are not universally reportable to the CDC. Reporting requirements vary by state, but MRSA is generally monitored rather than mandatorily reported nationally.
D. Syphilis: Syphilis is a nationally notifiable sexually transmitted infection. Cases must be reported to local and state health departments, which then notify the CDC. This allows for public health tracking, contact tracing, and prevention of further transmission.
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