A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?

Use a syringe to give the client fluids.

Tilt the client's head forward when swallowing.

Schedule physical therapy directly before mealtime.

Encourage the client to complete the meal within 15 min.

Answer and Explanation

The Correct Answer is B

A.   Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B.   Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C.   Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D.   Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.

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Correct Answer is D

Explanation

A. TPN typically contains glucose as a source of energy. While it can help maintain glucose levels, this is not the primary reason for its use in clients with acute kidney injury.
B. TPN is not primarily used to address excessive calorie burning. It is used when a client is unable to meet their nutritional needs orally or enterally.
C. While TPN may have varying proportions of macronutrients depending on the individual's nutritional needs, the primary reason for its use in acute kidney injury is to provide nutrition when the gastrointestinal tract cannot be used.

D. TPN bypasses the gastrointestinal tract, delivering nutrients directly into the bloodstream.
This is necessary in acute kidney injury when the client may not be able to tolerate enteral feeding or when there are specific dietary restrictions.

A. Sip fluids slowly throughout the day. B. Sit up for 1 hr after eating meals. C. Consume foods that are served cold. D. Eat foods low in carbohydrates. E. Limit use of antiemetics until after first emesis.

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

Explanation

A. Sipping fluids slowly can help prevent dehydration and may help alleviate nausea.
B. Sitting up for 1 hour after eating meals can help prevent reflux and reduce the likelihood of nausea.
C. Cold foods may be better tolerated by individuals experiencing nausea.
D. There is no specific evidence to suggest that eating foods low in carbohydrates helps with chemotherapy-induced nausea.
E. Antiemetics should be taken as prescribed, and delaying their use until after experiencing vomiting may lead to inadequate control of nausea and vomiting. It's important for the client to follow the healthcare provider's instructions regarding the use of antiemetics.

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A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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