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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Whole grains are a good source of energy and fiber, which can help regulate bowel movements and maintain a healthy weight. They also contain important nutrients like B vitamins, iron, folate, selenium, potassium, and magnesium, which are beneficial for overall health.
Choice B rationale
While poached eggs are a good source of protein, they do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice C rationale
Baked chicken is a good source of lean protein, but it does not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice D rationale
Fresh fruits are a good source of vitamins, minerals, and fiber. They are part of a healthy diet but do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Correct Answer is D
Explanation
Choice A rationale
While nutrition is important for recovery, consuming 35% of meals for 12 hours is not an immediate concern. The patient’s nutritional status can be addressed after more urgent issues are resolved.
Choice B rationale
Bedrest for 3 days post-surgery is not uncommon. While prolonged bedrest can lead to complications such as deep vein thrombosis, it is not the most immediate concern in this scenario.
Choice C rationale
A last bowel movement 2 days ago is not necessarily a concern unless the patient is experiencing discomfort or other symptoms of constipation. This can be addressed after more urgent issues are resolved.
Choice D rationale
This is the correct answer. Pain in the lower extremities following surgery could indicate a serious condition such as a blood clot. It is important to address this first to rule out any serious complications.
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