Which action should the nurse take if Sarah reports difficulty swallowing after treatment?
Instruct her to take an antacid
Notify the healthcare provider immediately
Reassure her that this is expected
Encourage warm fluids
The Correct Answer is B
A. Instruct her to take an antacid: Difficulty swallowing could be a sign of a more serious problem, such as esophageal irritation or a reaction to treatment. Taking an antacid may mask underlying issues, and it is not appropriate without further assessment.
B. Notify the healthcare provider immediately: Difficulty swallowing after treatment may indicate a serious side effect or complication, such as esophageal damage, allergic reaction, or a swallowing disorder. Immediate evaluation by the healthcare provider is necessary to determine the cause and prevent further complications.
C. Reassure her that this is expected: Difficulty swallowing after treatment should not be considered normal without investigation. It may indicate an issue that needs prompt attention to prevent further harm or discomfort.
D. Encourage warm fluids: Encouraging fluids could be helpful in some cases of mild throat irritation, but it is not the first appropriate action. The nurse should prioritize notifying the healthcare provider to evaluate the cause of difficulty swallowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The patient eats a high-carbohydrate snack before the exercise period: It is important for a patient with type 1 diabetes to ensure they have adequate glucose levels for exercise. Eating a high-carbohydrate snack before exercise is not always necessary unless blood glucose is low.
B. The patient reduces insulin use during days when exercise periods are planned: Insulin needs may be adjusted in relation to exercise, but reducing insulin across the board is not recommended without professional guidance.
C. The patient should know blood sugar before activity: It is important for patients with type 1 diabetes to check their blood sugar before exercise to ensure it is in a safe range. If the blood sugar is too low, they should consume a carbohydrate to prevent hypoglycemia.
D. The patient administers insulin after exercise rather than before exercise: Insulin should be timed appropriately to cover food intake and prevent post-meal hyperglycemia. Delaying insulin until after exercise could lead to high blood sugar levels.
Correct Answer is D
Explanation
A. Hyperthyroidism: Hyperthyroidism is characterized by weight loss, insomnia, increased heart rate, irritability, and tremors, which are the opposite of the signs described in this case. Lethargy and excessive sleep are more typical of hypothyroidism, not hyperthyroidism.
B. Tay-Sachs disease: Tay-Sachs disease is a genetic disorder that affects the nervous system, leading to developmental regression and symptoms like muscle weakness, loss of motor skills, and seizures. It does not typically present with lethargy and excessive sleep.
C. Type 1 Diabetes Mellitus: Type 1 diabetes typically presents with symptoms such as polyuria, polydipsia, weight loss, and fatigue. While fatigue is common in type 1 diabetes, lethargy and excessive sleep, especially in a 4-month-old, are not indicative of it.
D. Hypothyroidism: Hypothyroidism in infants can cause symptoms like lethargy, excessive sleep, snoring, poor feeding, and weight gain. It is a common condition in infants and can result in delayed development if left untreated.
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