A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?

Instruct the client to lie down after a meal.

Encourage the client to rest prior to mealtimes.

Turn on the client's television during meals.

Place the client into a semi-reclined position for meals.

Answer and Explanation

The Correct Answer is B

A. Instruct the client to lie down after a meal: Lying down after meals increases the risk of aspiration in clients with difficulty swallowing. It impairs gravity-assisted esophageal emptying and allows food or liquids to reflux, increasing the chance of choking or aspiration pneumonia.
B. Encourage the client to rest prior to mealtimes: Resting before meals conserves the client's energy, allowing them to focus on eating slowly and carefully, which promotes safer swallowing. Fatigue increases the risk of aspiration because muscle coordination during swallowing becomes impaired.
C. Turn on the client's television during meals: Turning on the television is a distraction that can reduce the client’s attention during chewing and swallowing. This lack of focus increases the risk of aspiration or choking, especially in clients with dysphagia.
D. Place the client into a semi-reclined position for meals: A semi-reclined position may hinder proper swallowing mechanics and promote aspiration. Clients with swallowing difficulty should ideally be in an upright 90-degree sitting position to reduce aspiration risk during meals.

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Free Nursing Study Resources

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

Explanation

Preschooler unable to bear weight on legs when walking: This is a concerning physical limitation in a child of this age and suggests a possible musculoskeletal or nutritional disorder. In vitamin D deficiency, it may indicate bone pain or weakness due to poor mineralization, requiring prompt evaluation and intervention.
Preschooler refuses all dairy products: Dairy products are a primary source of dietary calcium and often fortified with vitamin D, both essential for healthy bone development. A prolonged lack of dairy in a young child's diet can lead to nutritional deficiencies, particularly if the overall diet is limited or unbalanced.
Legs are bowed bilaterally: Bowed legs in a preschool-aged child are a classic sign of rickets, a condition resulting from vitamin D deficiency. This skeletal deformity reflects impaired bone development and mineralization and warrants immediate medical follow-up to prevent further complications.
Vitamin D 5 ng/mL (25 to 80 ng/mL): This level is critically low and indicates a severe vitamin D deficiency. Such a deficiency impairs calcium absorption, leading to weakened bones and increasing the risk for rickets, fractures, and long-term skeletal issues if not corrected.

A. You should limit your consumption of seafood to avoid exposure to mercury." B. You should not eat hard cheeses, such as Romano, Parmesan, and Asiago, to avoid listeriosis." C. "You should decrease your salt intake to avoid preeclampsia." D. "You should start using artificial sweeteners to decrease the risk of gestational diabetes."

Correct Answer is A

Explanation

A. "You should limit your consumption of seafood to avoid exposure to mercury. Certain fish contain high levels of mercury, which can negatively impact fetal brain development. Pregnant individuals are advised to limit consumption of high-mercury seafood and choose safer options like salmon, shrimp, and cod, keeping weekly intake within recommended limits.
B. "You should not eat hard cheeses, such as Romano, Parmesan, and Asiago, to avoid listeriosis."
Hard cheeses are typically safe to eat during pregnancy because they are low in moisture and unlikely to support Listeria growth. It is soft, unpasteurized cheeses like brie and queso fresco that pose a higher listeriosis risk.
C. "You should decrease your salt intake to avoid preeclampsia." There is no strong evidence that reducing salt intake prevents preeclampsia. Pregnant individuals should follow normal dietary guidelines unless otherwise directed by a healthcare provider due to existing hypertension or kidney conditions.
D. "You should start using artificial sweeteners to decrease the risk of gestational diabetes."
Artificial sweeteners do not prevent gestational diabetes and some types may have unclear safety profiles in pregnancy. Emphasis should be placed on balanced nutrition and managing total carbohydrate intake rather than replacing sugar with artificial alternatives.

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A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is A

Explanation

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