Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke.
Which of the following instructions should the nurse include?
A. Encourage brief exercise before meals to promote appetite.
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
B. Place the client with the head reclined back to facilitate swallowing.
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
C. Encourage the client to take small bites.
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
D. Place food in the affected side of the mouth.
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Med Surg Custom Proctored Exam 2. Take the full exam now
Full Explanation
Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.
Similar Questions
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts.
The nurse should expect the client to report:
A. having a loss of peripheral vision.
Having a loss of peripheral vision is not a typical symptom of cataracts. This symptom is more associated with conditions like glaucoma.
B. loss of central vision.
Loss of central vision is not a typical symptom of cataracts. This symptom is more associated with conditions like macular degeneration.
C. having a decreased ability to perceive colors.
Having a decreased ability to perceive colors is a common symptom of cataracts. Cataracts can cause vision to become cloudy or yellowed, affecting color perception.
D. seeing bright flashes of light and floaters.
Seeing bright flashes of light and floaters are not typical symptoms of cataracts. These symptoms are more commonly associated with conditions like retinal detachment.
Full Explanation
Choice A rationale:
Having a loss of peripheral vision is not a typical symptom of cataracts. This symptom is more associated with conditions like glaucoma.
Choice B rationale:
Loss of central vision is not a typical symptom of cataracts. This symptom is more associated with conditions like macular degeneration.
Choice C rationale:
Having a decreased ability to perceive colors is a common symptom of cataracts. Cataracts can cause vision to become cloudy or yellowed, affecting color perception.
Choice D rationale:
Seeing bright flashes of light and floaters are not typical symptoms of cataracts. These symptoms are more commonly associated with conditions like retinal detachment.
A nurse is teaching about disease management for a client who has type 1 diabetes mellitus.
Which statement made by the client indicates an understanding of the teaching?
A. "A weight reduction program will make me hypoglycemic.”.
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
B. "Insulin allows me to eat ice cream at bedtime.”.
Insulin does not permit unrestricted dietary choices.
C. "I give the insulin injections in my abdominal area.”.
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
D. "I am to take my blood sugar reading after meals.”.
Blood sugar readings are typically taken before meals to determine insulin dosage.
Full Explanation
Choice A rationale:
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
Choice B rationale:
Insulin does not permit unrestricted dietary choices.
Choice C rationale:
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
Choice D rationale:
Blood sugar readings are typically taken before meals to determine insulin dosage.
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
A. anti-inflammatory.
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
B. antipyretic.
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
C. analgesic.
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
D. antiplatelet aggregate.
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
Full Explanation
Choice A rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
Choice B rationale:
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
Choice C rationale:
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
Choice D rationale:
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.