What is the nurse's priority question before feeding a client for the first time?
"What is your favorite food?"
"How hungry are you right now?"
"Do you have any dietary restrictions?"
"Do you have any difficulty swallowing?"
The Correct Answer is D
Rationale:
A. Asking about the client’s favorite food is helpful for promoting intake and satisfaction, but it is not a safety priority before feeding. Preferences do not prevent potential complications during feeding.
B. Asking how hungry the client is assesses appetite, which can guide portion size and encouragement, but it does not address safety or risk of aspiration.
C. Asking about dietary restrictions is important for preventing dietary errors related to allergies, religious practices, or medical conditions, but it does not address the immediate risk of airway compromise during feeding.
D. Asking if the client has any difficulty swallowing is the priority question before feeding for the first time. Dysphagia increases the risk of aspiration, choking, and respiratory complications. Identifying swallowing difficulties allows the nurse to implement appropriate interventions, such as modified food textures, thickened liquids, or referral to a speech-language pathologist, ensuring safe oral intake. Safety always takes precedence over preference or appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Dipping the reagent strip into fresh urine is the correct step when performing a bedside urinalysis. The nurse should collect a fresh urine sample, briefly immerse the reagent strip so all test pads are moistened, remove it immediately, and then compare the color changes to the manufacturer’s chart at the specified times. This ensures accurate results for substances such as glucose, protein, ketones, blood, and leukocytes.
B. Touching the reagent strip in the colored areas is incorrect. The nurse should avoid touching the test pads because oils or contaminants from the hands can alter the results and lead to inaccurate readings.
C. Leaving the reagent strip in the urine for 2 minutes is incorrect. The strip should only be dipped briefly and removed immediately. Prolonged immersion can cause reagent leaching and inaccurate results. Timing for reading results occurs after removal from the urine, according to the manufacturer’s instructions.
D. Sending the reagent strip to the laboratory is unnecessary. A bedside urinalysis using reagent strips is performed and interpreted at the point of care. Only the urine specimen itself would be sent to the lab if further testing is required.
Correct Answer is A
Explanation
Rationale:
A. "I will alternate cheeks with each dose to avoid irritation" indicates effective learning. Buccal medications are placed between the cheek and gum to allow absorption through the mucous membrane. Alternating cheeks with each dose helps prevent local irritation and promotes even absorption.
B. "I should chew the medication before placing it in my cheek" is incorrect. Buccal medications are meant to dissolve slowly in the mouth without chewing. Chewing can destroy the medication’s intended delivery mechanism and reduce effectiveness.
C. "I need to swallow the medication immediately after taking it" is incorrect. Buccal medications are designed to be absorbed through the oral mucosa and should not be swallowed immediately, as swallowing may reduce the medication’s efficacy.
D. "I should place the medication under my tongue to dissolve" is incorrect. Placing the medication under the tongue is the administration method for sublingual medications, not buccal medications. Buccal medications are specifically placed between the cheek and gum.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.