a nurse is planning care for a client who has acute dysphagia which of the following nursing interventions should be included in the plan of care

ATI RN

ATI Nutrition

1. A client has acute dysphagia. Which of the following nursing interventions should be included in the plan of care?

A. Providing a straw for consumption of liquids
B. Encouraging larger bites
C. Placing the client in semi-Fowler's position during meals
D. Instructing the client to tilt head forward when swallowing

Correct answer: C

Rationale: Placing the client in semi-Fowler's position during meals is the correct intervention for a client with acute dysphagia. This position helps prevent aspiration by facilitating swallowing. Providing a straw for consumption of liquids (Choice A) can increase the risk of aspiration and is not recommended for clients with dysphagia. Encouraging larger bites (Choice B) can also increase the risk of choking and aspiration. Instructing the client to tilt the head forward when swallowing (Choice D) is not the recommended technique for managing dysphagia as it does not address the underlying issue effectively.

2. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:

A. Soften and efface the cervix
B. Numb cervical pain receptors
C. Prevent cervical lacerations
D. Stimulate uterine contractions

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Integrated management for childhood illness is the universal protocol of care endorsed by WHO and is used by different countries worldwide, including the Philippines. In any case that the nurse classifies the child and categorizes the signs and symptoms in the PINK category, you know that this means:

A. Urgent referral
B. Antibiotic Management
C. Home treatment
D. Outpatient treatment facility is needed

Correct answer: B

Rationale: When a child is classified under the PINK category in the Integrated Management of Childhood Illness (IMCI) guidelines, it signifies the need for antibiotic management. This category indicates severe signs and symptoms requiring immediate antibiotic treatment to address the underlying infection. Choices A, C, and D are incorrect because the PINK category specifically calls for urgent antibiotic management rather than urgent referral, home treatment, or outpatient treatment facility.

4. What instruction should the nurse include on weight gain during pregnancy?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client needs to gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients will need to eat for two when they are pregnant.

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

5. The psychosocial task of a 55 year old adult client is:

A. Industry vs. Inferiority
B. Intimacy vs. Isolation
C. Integrity vs. Despair
D. Generativity vs. Stagnation

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.