The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch.
What action by the new nurse would cause the precepting nurse to intervene?

The patient is lying in bed with their head elevated to 35 degrees.

The nurse provides thickened liquids per the orders.

The nurse does not rush the patient in eating each bite.

The nurse ensures that the patient’s food is minced.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The patient lying in bed with their head elevated to 35 degrees while eating could pose a risk for aspiration, especially for a patient with Huntington’s disease. Huntington’s disease is a neurodegenerative disorder that can cause difficulties with swallowing and motor control.
Therefore, it is recommended that the patient be as upright as possible, ideally in a seated position, during meals to reduce the risk of aspiration.
Choice B rationale

Providing thickened liquids is a common intervention for patients with Huntington’s disease who have difficulty swallowing. Thickened liquids are easier to control and swallow, reducing the risk of aspiration.
Choice C rationale
Not rushing the patient in eating each bite is a recommended practice. Patients with Huntington’s disease often have difficulty with motor control, including swallowing. Allowing the patient to take their time can help prevent choking and aspiration.
Choice D rationale
Ensuring that the patient’s food is minced is another recommended practice for patients with Huntington’s disease. Minced food is easier to chew and swallow, which can help prevent choking and aspiration.

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Correct Answer is C

Explanation

Choice C rationale
Patients with Ménière’s disease are often advised to limit or avoid foods high in sodium, such as canned soup. High sodium intake can increase fluid retention, which can exacerbate the symptoms of Ménière’s disease, such as vertigo, tinnitus, and hearing loss.
Choice A rationale
There is no specific recommendation for patients with Ménière’s disease to limit or avoid red meat. However, a balanced diet that includes lean proteins is generally recommended for overall health.
Choice B rationale
Frozen yogurt is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the sugar content, as high sugar intake can potentially trigger symptoms.

Choice D rationale
Shellfish is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the preparation method and any added sodium, which can exacerbate symptoms.

A. Assess the lung sounds. B. Explain the progression of the syndrome. C. Call the physician and prepare for intubation. D. Encourage the client to cough.

Correct Answer is C

Explanation

Choice A rationale

Assessing lung sounds is an important part of monitoring a patient’s respiratory status, but it may not be the most immediate action if the patient is finding it increasingly difficult to breathe.

Choice B rationale

While explaining the progression of the syndrome is important for patient education, it may not be the most immediate action if the patient is experiencing difficulty breathing.

Choice C rationale

Guillain-Barre syndrome can affect the muscles used for breathing, resulting in a weakened or paralyzed diaphragm, which can lead to an ineffective breathing pattern. Therefore, if a patient states that it is getting harder to take a deep breath, the nurse should call the physician and prepare for possible intubation.

Choice D rationale

Encouraging the client to cough may not be the most appropriate action if the patient is finding it increasingly difficult to breathe.

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The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch. What action by the new nurse would cause the precepting nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge education to a patient newly diagnosed with Ménière’s disease. What food should the patient be instructed to limit or avoid?

Correct Answer is C

Explanation

A nurse is caring for a client recently diagnosed with Guillain-Barre syndrome. The client states, “It is getting harder to take a deep breath.”. Which action by the nurse is most appropriate?

Correct Answer is C

Explanation

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The nurse is precepting a new nurse who is caring for a patient with a history of Huntington’s disease. The new nurse is preparing to feed the patient lunch.
What action by the new nurse would cause the precepting nurse to intervene?