The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Oatmeal with honey, applesauce, and pear nectar.

Pancakes with syrup, link sausage, and orange juice.

An oral nutritional supplement.

Scrambled eggs, bacon, toast, milk, and coffee.

Answer and Explanation

The Correct Answer is C

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B.   Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C.   An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D.   Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

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Correct Answer is C

Explanation

A. Bunions. While bunions can be uncomfortable and affect mobility, they are not directly related to nutritional status and may not require immediate nutritional assessment.
B. Sweaty palms. Sweaty palms can be a normal physiological response or related to factors such as anxiety or hyperhidrosis. It is not typically indicative of a nutritional issue.
C. Fatigue. Fatigue can be a symptom of various nutritional deficiencies or imbalances, including inadequate calorie intake, insufficient carbohydrate intake, or deficiencies in vitamins and
minerals such as iron or B vitamins. Further assessment is needed to determine the cause of the fatigue and whether it is related to the client's nutritional status.
D. Dry skin. Dry skin can also be a symptom of various issues, including dehydration, environmental factors, or skin conditions. While it can sometimes be associated with nutritional deficiencies, fatigue is a more concerning symptom in a professional dancer, as it can significantly affect performance and may indicate underlying nutritional issues.

A. Recommend an increase in caloric intake to avoid excessive weight loss. B. Reassure the parents that increased physical activity reduces the risk for diabetes. C. Suggest a less strenuous activity to reduce the risk for dehydration. D. Instruct the family about the need to adjust the insulin dose before exercise.

Correct Answer is B

Explanation

A. Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B. Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C. Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.

D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.

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The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

Correct Answer is C

Explanation

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

Correct Answer is B

Explanation

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