A nurse is providing care for a patient who had a stroke and is experiencing difficulty swallowing. Which of the following complications should the nurse monitor for in this patient?

Peptic ulcer disease

Dumping syndrome

Aspiration

Gastroesophageal reflux disease

Answer and Explanation

The Correct Answer is C

Choice A rationale

Peptic ulcer disease is not a common complication of difficulty swallowing after a stroke. It is typically caused by an infection with the bacterium Helicobacter pylori or long-term use of nonsteroidal anti-inflammatory drugs.
Choice B rationale
Dumping syndrome is not a common complication of difficulty swallowing after a stroke. It is a condition that can occur after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight.
Choice C rationale
Aspiration is a common problem for people with dysphagia, a condition that can occur after a stroke. It occurs when something you’ve swallowed enters the airway and lungs. Normally, aspiration causes a violent cough, but a stroke can reduce sensation. In this case, you may not know you’re aspirating (silent aspiration)5.
Choice D rationale
Gastroesophageal reflux disease (GERD) is not a common complication of difficulty swallowing after a stroke. GERD is a chronic disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining.

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Correct Answer is A

Explanation

Choice A rationale

Rice is a safe food choice for a child diagnosed with celiac disease. Celiac disease is a chronic immune disorder triggered by the consumption of gluten, a protein naturally present in wheat, barley, and rye. When people with celiac disease eat foods with gluten, the immune system attacks the small intestine, causing inflammation and damage that affects digestion, absorption, and nutrition. Rice is naturally gluten-free and can be included in the diet of a person with celiac disease.
Choice B rationale
Rye is not a safe food choice for a child diagnosed with celiac disease. Rye contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice C rationale
Wheat is not a safe food choice for a child diagnosed with celiac disease. Wheat contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice D rationale
Barley is not a safe food choice for a child diagnosed with celiac disease. Barley contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.

A. Increase the client’s sodium intake. B. Increase the client’s saturated fat intake. C. Decrease the client’s fluid intake. D. Decrease the client’s carbohydrate intake.

Correct Answer is C

Explanation

Choice A rationale
Increasing sodium intake is not recommended for a client with cirrhosis and ascites. Sodium can cause fluid retention, which can worsen ascites.
Choice B rationale
Increasing saturated fat intake is not recommended for a client with cirrhosis and ascites. A balanced diet with adequate protein and carbohydrates is recommended.
Choice C rationale
Decreasing fluid intake can be a part of the management plan for a client with cirrhosis and ascites. This can help manage fluid balance and prevent further accumulation of fluid in the abdomen.
Choice D rationale
Decreasing carbohydrate intake is not typically recommended for a client with cirrhosis and ascites. Carbohydrates provide a source of energy that is necessary for the body’s functions.

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A nurse is providing care for a patient who had a stroke and is experiencing difficulty swallowing. Which of the following complications should the nurse monitor for in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a parent of a child diagnosed with celiac disease. Which of the following food choices should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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