A patient has recently suffered a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely?
a. Use a straw
b. Tuck chin when swallowing
c. Take a sip of liquid with each bite
d. Turn head to the left
ANS: B
The patient should sit at a 90-degree angle with the head up and chin slightly tucked.
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Upon admission, the nurse notes that a patient without family members present has a billfold filled with cash. Where can the nurse suggest the money be placed?
a. In a sealed envelope in the bedside table b. In the care of hospital security c. Locked in the narcotic cupboard d. In the hospital safe
The nurse assesses patients receiving nifedipine (Adalat) for what adverse effects?
A) Ascites B) Asthma C) Peripheral edema D) Tetany
Discharge from an inpatient psychiatric setting occurs when the
1. client's behavior is appropriate. 2. family members agree to watch the client. 3. client runs out of money. 4. client has served his or her time.
A parent says, "My 2-year-old child refuses toilet training and shouts ‘No!' when given directions. What do you think is wrong?" Select the nurse's best reply
a. "Your child needs firmer control. It is important to set limits now." b. "This is normal for your child's age. The child is striving for independence." c. "There may be developmental problems. Most children are toilet trained by age 2." d. "Some undesirable attitudes are developing. A child psychologist can help you develop a plan."