The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

Assist the client to lie down and turn to the side.

Recommend the use of supplemental liquid feedings.

Demonstrate use of a tucked-chin position while eating.

Encourage the use of assistive feeding devices.

Answer and Explanation

The Correct Answer is C

Choice A reason: Assisting the client to lie down may increase the risk of aspiration.

Choice B reason: Supplemental liquid feedings may be considered but do not address the immediate issue.

Choice C reason: Demonstrating the tucked-chin position can help reduce the risk of aspiration by ensuring the airway is protected during swallowing.

Choice D reason: Assistive feeding devices may help but do not address the immediate issue of frequent coughing during meals.

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Correct Answer is A

Explanation

Choice A reason: Low fat yogurt is a good source of calcium and vitamin D, which are important nutrients for postmenopausal women to maintain bone health and prevent osteoporosis.

Choice B reason: Mixed berries are healthy and high in antioxidants, but they do not specifically provide the nutrients that postmenopausal women need most for bone health.

Choice C reason: Carrots are high in beta-carotene but are not a primary source of calcium or vitamin D.

Choice D reason: Beets are nutritious but do not offer the specific benefits of calcium and vitamin D needed by postmenopausal women.

A. Avoid strenuous activity and sports for at least 2 weeks. B. Report any painful urination, blood in urine, or fever. C. Report any allergies to shellfish or iodine. D. Lay prone for 24 hours after the procedure.

Correct Answer is B

Explanation

Choice A reason: Avoiding strenuous activity for 2 weeks is not typically required after a cystoscopy.

Choice B reason: Reporting painful urination, blood in urine, or fever is important as these may indicate complications such as infection.

Choice C reason: Shellfish or iodine allergies are not relevant for a cystoscopy, as contrast dyes are not typically used in this procedure.

Choice D reason: Laying prone for 24 hours is not necessary after a cystoscopy.

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The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing a nutrition class to a group of postmenopausal clients. Which food should the nurse emphasize to this group?

Correct Answer is A

Explanation

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

Correct Answer is B

Explanation

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

The healthcare provider (HCP) prescribes 0.9% normal saline 500 mL IV bolus to be infused over 30 minutes. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

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