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
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Nursing Elites

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

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. Intrinsic factor from the stomach is needed for the absorption of which vitamin?

Correct answer: A

Rationale: The correct answer is A: vitamin B12. Intrinsic factor is a glycoprotein produced by the stomach that is necessary for the absorption of vitamin B12 in the small intestine. Vitamin B12 binds to intrinsic factor in the stomach, forming a complex that is then absorbed in the ileum. This absorption process is crucial for preventing vitamin B12 deficiency. Choices B, C, and D are incorrect because they do not require intrinsic factor for absorption. Folate is absorbed in the small intestine through a different mechanism, niacin can be absorbed in the small intestine without the need for intrinsic factor, and vitamin B6 does not rely on intrinsic factor for absorption.

3. Poor nutrition results in delayed eruption and exfoliation of deciduous teeth and increased dental caries. Increased caries susceptibility in at-risk children may be related to changes in salivary composition caused by malnutrition.

Correct answer: A

Rationale: Both statements are true. Poor nutrition can affect tooth development and increase the risk of dental caries in children.

4. Which bond is formed by a positively charged metal ion and negatively charged nonmetal ion?

Correct answer: A

Rationale: The correct answer is an ionic bond. An ionic bond is formed when a positively charged metal ion joins with a negatively charged nonmetal ion, resulting in a transfer of electrons. In contrast, a covalent bond involves sharing electrons between atoms rather than complete transfer. Functional groups are specific groups of atoms within molecules that determine the molecule's chemical properties. Metallic bonds occur between metal atoms where electrons are shared across a delocalized electron cloud.

5. The mother of a drug dependent would never consider referring her son to a drug rehabilitation agency because she fears her son might just become worse while relating with other drug users. The mother’s behavior can be described as:

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.

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