A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

Have the patient swallow twice after each bite.

Place the patient in a semi-Fowler position.

Provide clear liquids only until the patient can swallow solid foods.

Check the patient's mouth for pocketing of food.

Encourage the use of a straw for liquids.

Place food on the unaffected side of the patient's mouth.

Answer and Explanation

Correct Answer : A,D,F

A. Have the patient swallow twice after each bite: This can help clear any residual food from the mouth and reduce the risk of aspiration.
B. Place the patient in a semi-Fowler position: This position is not ideal for preventing aspiration. The patient should be in an upright, high Fowler’s position to minimize the risk.
C. Provide clear liquids only until the patient can swallow solid foods: Clear liquids can actually be more difficult to control in the mouth and throat than thicker liquids and may increase the risk of aspiration.
D. Check the patient's mouth for pocketing of food: Ensuring that no food is left in the mouth can help prevent aspiration after the patient has finished eating.
E. Encourage the use of a straw for liquids: Using a straw can increase the risk of aspiration because it delivers liquids quickly and may overwhelm the swallowing mechanism, especially in patients with dysphagia.
F. Place food on the unaffected side of the patient's mouth: This helps ensure that the stronger side of the mouth and throat manages the food, reducing the risk of aspiration.

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

Explanation

A. Reducing risk for fall: Patients with fractures are at higher risk for falls, which can exacerbate their injuries or cause new ones. Ensuring the environment is safe and assisting with mobility can reduce this risk.
B. Healing the surrounding tissue: While important, the primary focus in the acute phase is stabilizing the fracture itself. Healing surrounding tissue is more of a long-term goal and indirectly supported by proper fracture management.
C. Alignment of the bone: Proper alignment is crucial for healing. It ensures that the bone ends are in the correct position to heal properly and reduces the risk of complications such as malunion.
D. Immobilization of the leg: Immobilization is necessary to maintain bone alignment and prevent further injury or displacement of the fracture.
E. Preventing pain: Pain management is a fundamental aspect of patient care for fractures, as it not only provides comfort but also aids in compliance with treatment and rehabilitation.

A. Consume a DASH diet. B. Maintain a healthy weight. C. Increase moderate intensity aerobic exercise. D. Quit smoking E. Increase alcohol consumption.

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

Explanation

A. Consume a DASH diet.: The DASH (Dietary Approaches to Stop Hypertension) diet is effective in lowering blood pressure. It emphasizes fruits, vegetables, whole grains, and lean proteins.
B. Maintain a healthy weight.: Maintaining a healthy weight helps lower the workload on the heart and reduces blood pressure.
C. Increase moderate intensity aerobic exercise.: Regular aerobic exercise can help lower blood pressure and improve overall cardiovascular health.
D. Quit smoking.: Smoking cessation reduces the risk of hypertension and other cardiovascular diseases.
E. Increase alcohol consumption.: This is incorrect. Excessive alcohol intake can raise blood pressure and increase the risk of hypertension.

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A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with a transverse fracture. Which are goals for managing patient care? Select all that apply.

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

Explanation

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

Explanation

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