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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
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.
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