The nurse, upon reviewing the history, discovers the patient has dysphagia.
Which assessment finding is consistent with dysphagia?

Trouble chewing foods such as meats and raw vegetables.

Awakenings with a feeling of indigestion.

Feeling of choking after swallowing.

Frequent burping.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Trouble chewing foods such as meats and raw vegetables is more indicative of mechanical issues with chewing or dental problems rather than dysphagia, which primarily involves difficulty with swallowing. While chewing difficulties can sometimes coexist with dysphagia, the primary characteristic of dysphagia is impaired bolus transport from the mouth to the stomach.

Choice B rationale

Awakenings with a feeling of indigestion suggest issues related to gastric motility or acid reflux, not necessarily dysphagia. Indigestion involves discomfort in the upper abdomen, often related to the digestion of food in the stomach, whereas dysphagia is focused on the process of swallowing.

Choice C rationale

A feeling of choking after swallowing is a classic symptom of dysphagia. It indicates that food or liquid is not passing smoothly from the pharynx to the esophagus and may be entering the airway. This occurs due to impaired coordination or weakness of the muscles involved in swallowing.

Choice D rationale

Frequent burping, or eructation, is typically related to the release of excess gas from the stomach, often due to swallowed air or the breakdown of food. It is not a primary indicator of dysphagia, which is a disorder of the swallowing mechanism.

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Correct Answer is ["1"]

Explanation

The correct answer is 1 mL.

Step 1 is: Examine the medication label to determine the concentration of epoetin. The label indicates a concentration of 30,000 units per 1 mL.

Step 2 is: Set up the calculation to find the volume needed by dividing the ordered dose by the concentration: 30,000 units ÷ (30,000 units/mL).

Step 3 is: Perform the division: 30,000 ÷ 30,000 = 1.

Step 4 is: The units cancel out, leaving the volume in milliliters: 1 mL. Final answer is 1 mL.

A. Verify tube placement. B. Check the residual feeding contents. C. Administer the feeding. D. Evaluate tolerance to the feeding.

Correct Answer is A,B,C,D

Explanation

Choice A rationale

Verifying tube placement is the initial critical step to ensure the feeding is delivered into the gastrointestinal tract and not the respiratory system, thereby preventing aspiration. Methods for verification include pH testing of aspirate (target pH ≤ 5.5), and radiographic confirmation is the gold standard, especially after initial placement.

Choice B rationale

Checking the residual feeding contents before administering a new feeding is essential to assess the client's tolerance to the previous feeding and prevent overfeeding, which can lead to complications like abdominal distension, nausea, vomiting, and aspiration. A high residual volume may indicate delayed gastric emptying.

Choice C rationale

Administering the feeding follows confirmation of tube placement and assessment of residual volume. The feeding should be administered at the prescribed rate and volume, ensuring the client receives adequate nutrition and hydration. The client should be positioned with the head of the bed elevated at least 30-45 degrees during and for at least 30-60 minutes after feeding to minimize aspiration risk.

Choice D rationale

Evaluating the client's tolerance to the feeding is an ongoing process that involves monitoring for signs and symptoms such as abdominal distension, pain, nausea, vomiting, diarrhea, or aspiration. This evaluation helps determine if the feeding regimen needs adjustment in terms of rate, volume, or formula.

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The nurse, upon reviewing the history, discovers the patient has dysphagia.Which assessment finding is consistent with dysphagia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders epoetin 30,000 units subcutaneously for anemia. The medication is per the provided label on the supplemental exam sheet. How many milliliters will the nurse administer? SEE LABEL #1 for drug availability.

Correct Answer is ["1"]

Explanation

A nurse is preparing to administer an enteral feeding via an established NG tube. Identify the sequence the nurse should follow to initiate the feeding. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is A,B,C,D

Explanation

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The physician orders Ancef 500 mg IV for a urinary tract infection. After reconstitution, the medication is available as 330 mg/mL. How many milliliters will the nurse administer?

The nurse, upon reviewing the history, discovers the patient has dysphagia.
Which assessment finding is consistent with dysphagia?