The nurse caring for an elderly client who recently experienced a cerebral vascular accident (CVA or stroke) will recognize which of the following as signs of dysphagia? Select all that apply
1. Drooling
2. Frequent throat clearing
3. Pocketing of food in the cheeks
4. Anorexia
5. Slurred speech
1. Drooling
2. Frequent throat clearing
3. Pocketing of food in the cheeks
Rationale: Drooling. Drooling is typically associated with dysphagia. Frequent throat clearing. Frequent throat clearing is typically associated with dysphagia. Pocketing of food in the cheeks. Pocketing of food in the cheeks is typically associated with dysphagia. Anorexia. Anorexia is noted in clients with eating disorders or severe medical disease processes. Slurred speech. Slurred speech is more likely observed in a client with neurological deficits.
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A nurse at a senior center promotes activity by leading exercise programs. Which of the following is a benefit of such exercise?
a. Improvement of mood b. Cardiovascular stress c. Painful and stiff joints d. Depression
The patient who has been diagnosed with a terminal illness is crying when the nurse enters the room. The patient states, "I promised God that I would be a better person if He will just let me get over this disease
" The nurse recognizes this as Kübler-Ross's stage of: 1. denial. 2. anger. 3. bargaining. 4. depression.
A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?
a. Has had diabetes mellitus for 12 years b. Uses sodium-containing antacids fre-quently c. Just received 3 units of packed red blood cells d. Had abdominal surgery and has a naso-gastric tube
Steven is a 12-year-old boy who is being raised in a low-income, single-parent household. His mother works long hours to try and support him and his 10-year-old sister
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