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 D

Explanation

A. Low residue diet. This diet is designed to reduce the amount of indigestible material in the digestive tract, which is helpful for certain gastrointestinal conditions but not specifically for managing weight loss and stomatitis in chemotherapy patients.
B. Mechanical soft diet. While this diet includes foods that are easier to chew, it might not provide the necessary high protein content needed for someone who is significantly underweight and has increased nutritional needs due to chemotherapy.
C. Pureed regular diet. This diet consists of pureed foods that are easy to swallow, which is beneficial for those with severe difficulty chewing or swallowing, but it might not provide enough variety or appeal to encourage adequate intake in someone with stomatitis.
D. High protein soft diet. This diet includes soft foods that are easy to chew and swallow, making it suitable for someone with stomatitis. Additionally, it focuses on high protein content, which is essential for tissue repair and maintaining muscle mass, especially important for a client who has lost a significant amount of weight due to chemotherapy.

A. Check for body weight changes. B. Calculate 24-hour caloric intake. C. Observe for abdominal distention. D. Measure the urinary output.

Correct Answer is C

Explanation

A. Check for body weight changes. While changes in body weight can provide valuable

information about nutritional status, they may not be immediately relevant to addressing the high gastric residual volume.
B. Calculate 24-hour caloric intake. While important for overall nutritional assessment,

calculating 24-hour caloric intake may not address the immediate concern of the high gastric residual volume.
C. Observe for abdominal distention. High gastric residual volumes can indicate delayed gastric emptying or intolerance to the feeding formula, which may manifest as abdominal distention.
Assessing for this symptom helps determine the client's comfort and potential complications related to tube feeding.

D. Measure the urinary output. Monitoring urinary output is important for assessing hydration status and renal function, but it may not directly address the issue of high gastric residual volume associated with tube feeding.

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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

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is D

Explanation

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

Correct Answer is C

Explanation

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

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