a nurse is caring for a client who is experiencing dysphagia which of the following actions should the nurse take
Logo

Nursing Elites

ATI LPN

LPN Fundamentals of Nursing

1. A client is experiencing dysphagia. Which of the following actions should the nurse take?

Correct answer: D

Rationale: When caring for a client with dysphagia, placing food on the unaffected side of the mouth can help them chew and swallow more effectively. This technique can assist in minimizing the risk of aspiration and improve the client's ability to manage food safely. Providing small food pieces, offering thickened liquids, and encouraging the client to sit upright after meals are also important interventions in managing dysphagia, but placing food on the unaffected side of the mouth is a specific technique that directly addresses the swallowing difficulty associated with dysphagia.

2. A client has a new prescription for furosemide. Which of the following instructions should the nurse include during discharge teaching?

Correct answer: B

Rationale: Monitoring weight daily is crucial when taking furosemide to detect fluid retention or loss. Furosemide is a diuretic that helps the body get rid of excess water and salt through urine. Changes in weight can indicate fluid shifts, which could be a sign of inadequate response to the medication or worsening condition. Therefore, monitoring weight daily is essential to assess the effectiveness of furosemide therapy and detect any potential issues early on. Choices A, C, and D are incorrect. Avoiding foods high in potassium is more relevant for clients taking potassium-sparing diuretics, not furosemide. Taking furosemide with food is not necessary, as it can be taken with or without food. Increasing salt intake is contradictory to the purpose of furosemide, which aims to eliminate excess salt from the body.

3. A client has a new diagnosis of renal calculi, and the nurse is teaching about dietary management. Which of the following statements should the nurse include in the teaching?

Correct answer: B

Rationale: The correct answer is to decrease the intake of calcium-rich foods when managing renal calculi. Calcium can contribute to the formation of stones in the kidneys, so reducing its intake can help prevent the development of new calculi and manage existing ones.

4. A healthcare professional is assessing a client who has fluid volume overload. Which of the following findings should the healthcare professional expect?

Correct answer: C

Rationale: Crackles in the lungs are a classic sign of fluid volume overload. When there is an excess of fluid in the lungs, it can manifest as crackling sounds upon auscultation. This finding indicates the accumulation of fluid in the alveoli and interstitial spaces of the lungs, which is a common manifestation of fluid volume overload.

5. A client with a new diagnosis of cirrhosis is receiving dietary management education from a nurse. Which of the following statements should the nurse include in the teaching?

Correct answer: B

Rationale: Reducing the intake of sodium-rich foods is beneficial for managing fluid retention and symptoms of cirrhosis. Excessive sodium can lead to fluid buildup in the body, worsening edema and ascites commonly associated with cirrhosis. Therefore, advising the client to decrease their intake of sodium-rich foods is crucial in the dietary management of cirrhosis. Option A is incorrect as increasing sodium intake would exacerbate fluid retention. Option C is irrelevant to cirrhosis management unless the client has lactose intolerance. Option D is incorrect as increasing dairy product intake may not be suitable for all patients with cirrhosis, especially if they have complications like hepatic encephalopathy.

Similar Questions

A client receives discharge teaching on a new prescription for lisinopril. Which of the following instructions should be included?
During an admission interview, a nurse is assessing a client's personal identity. Which of the following questions should the nurse ask?
A client has a new prescription for a low-fat diet. Which of the following foods should be recommended?
A healthcare provider is planning care for a client who has a pressure ulcer. Which of the following interventions should the healthcare provider include?
A client with hyperkalemia is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?

Access More Features

ATI LPN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI LPN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses