The unlicensed assistive personnel (UAP) is feeding a client with dysphagia. What action would cause the nurse to intervene?

Offering thickened liquids.

Placing client in upright position.

Providing large, frequent bites.

Allowing ample time between choices.

Answer and Explanation

The Correct Answer is C

This action would cause the nurse to intervene because it increases the risk of choking and aspiration for a client with dysphagia, which is difficulty swallowing. The nurse would instruct the UAP to feed the client small amounts of food slowly, allowing time for chewing and swallowing.

Choice A is wrong because offering thickened liquids is a safe practice for a client with dysphagia. Thickened liquids allow for easier swallowing and less choking, thus decreasing the chance of aspiration.

Choice B is wrong because placing the client in an upright position is also a safe practice for a client with dysphagia. This position helps prevent food from entering the airway and facilitates swallowing.

Choice D is wrong because allowing ample time between bites is another safe practice for a client with dysphagia. This helps the client avoid feeling rushed or overwhelmed and reduces the risk of aspiration.

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Correct Answer is C

Explanation

The popliteal artery is a major blood vessel that runs behind the knee and supplies blood to the lower leg. Sitting with knees crossed can compress this artery and reduce blood flow to the leg.

This can cause numbness, tingling, or pain in the leg. It can also increase the risk of blood clots or varicose veins.

Choice A is wrong because sitting with knees crossed does not decrease the risk of skin breakdown behind the knee. In fact, it may increase the risk by causing friction or pressure on the skin.

Choice B is wrong because sitting with knees crossed does not eliminate the pain of arthritis in the lower legs.

Arthritis is a joint inflammation that causes pain, stiffness, and swelling. Sitting with knees crossed can worsen these symptoms by putting more stress on the knee joints.

Choice D is wrong because sitting with knees crossed does not avoid irritation of the knee joints.

On the contrary, it can cause irritation by overstretching the knee ligaments and muscles

A. Assist the client in identification of a social support network. B. Administer sedative-hypnotics as directed. C. Identify stress-reducing techniques when environmental stressors cannot be controlled. D. Discuss with the client factors they feel contribute to stress.

Correct Answer is ["A","C"]

Explanation

These interventions help the client to cope with stress by enhancing their social support and teaching them skills to manage stressors.

Choice B is wrong because sedative hypnotics may cause dependence and do not address the underlying causes of stress.

Choice D is wrong because discussing factors that contribute to stress may increase the client’s anxiety and does not provide any solutions.

The normal range for coping is to use adaptive strategies that reduce stress and promote well-being.

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The unlicensed assistive personnel (UAP) is feeding a client with dysphagia. What action would cause the nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse should include which rationale when instructing a client to avoid sitting with knees crossed?

Correct Answer is C

Explanation

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

A client has been recently started on phenelzine, a monoamine oxidase inhibitor (MAOI) for depression. Which statement indicates that the client requires further educational reinforcement about the medication?

Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?

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A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?