Assisting a stroke patient with feeding would include:
Head of bed 45 degrees
Patient should be on a regular diet to rebuild their swallowing ability
Have patient sit upright 90 degrees in bed or chair
All of the above
The Correct Answer is C
Choice A: Head of bed 45 degrees is not enough to prevent aspiration or choking, as the patient may still have difficulty swallowing and clearing their airway.
Choice B: Patient should be on a regular diet to rebuild their swallowing ability is not correct, as the patient may need a modified diet depending on their level of dysphagia or swallowing impairment. A regular diet may pose a risk of aspiration or choking.
Choice C: Have patient sit upright 90 degrees in bed or chair is correct, as this position helps the patient align their head and neck and use gravity to facilitate swallowing and prevent aspiration.
Choice D: All of the above is not correct, as only choice C is appropriate for assisting a stroke patient with feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Injury from chemicals is incorrect because it is not a type of traumatic brain injury. Injury from chemicals is a type of toxic brain injury, which occurs when a substance such as alcohol, drugs, or carbon monoxide enters the bloodstream and affects the brain function or structure. It can cause symptoms such as confusion, memory loss, or seizures.
Choice B: Acceleration/deceleration injury occurs when the head accelerates and then rapidly decelerates, damaging brain tissue is correct because it is the definition of a closed traumatic brain injury. A closed traumatic brain injury occurs when the head moves violently without breaking the skull. This can cause the brain to hit against the inner wall of the skull or twist within the skull, resulting in bruising, tearing, or shearing of the brain tissue.
Choice C: Stressed injury to the brain is incorrect because it is not a type of traumatic brain injury. Stressed injury to the brain is a type of psychological brain injury, which occurs when a person experiences a traumatic event such as violence, abuse, or war. It can cause symptoms such as flashbacks, nightmares, or post-traumatic stress disorder.
Choice D: Object penetrates the brain or trauma is so severe that the scalp and skull are opened is incorrect because it is not a closed traumatic brain injury. It is a type of open traumatic brain injury, which occurs when a foreign object such as a bullet, knife, or bone fragment enters the brain or when a blunt force trauma such as a fall, collision, or assault causes a fracture or laceration of the skull. This can damage the brain tissue, blood vessels, and nerves and cause bleeding, swelling, or infection.
Correct Answer is D
Explanation
Choice A: Maintenance of clear airway is a goal for a patient with altered level of consciousness, as it can prevent aspiration, hypoxia, and respiratory failure.
Choice B: Maintenance of skin integrity is a goal for a patient with altered level of consciousness, as it can prevent pressure ulcers, infection, and sepsis.
Choice C: Protection from injury is a goal for a patient with altered level of consciousness, as it can prevent falls, fractures, and trauma.
Choice D: All of the above is correct, as all of these goals are relevant for a patient with altered level of consciousness.
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