The student nurse is preparing to feed the client who has a history of dysphagia. When planning the intervention, which of the following should be taken into consideration?
A) Position the client in a semi-Fowler's position.
B) Elevate the head of the bed to 60 degrees.
C) Engage the client in a lively conversation during the meal.
D) Maintain the client in an upright position for 1 hour after the meal.
D
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The nurse is caring for a patient who has a stage 4 pressure ulcer that is 2 cm in diameter and 2 cm deep. Bone is visible in the wound. Which patient assessment finding should be communicated to the RN immediately?
a. Yellow wound drainage b. A reddened area adjacent to the ulcer c. Patient report of pain d. Pink grainy appearance at wound edges
The parent of a child with mumps on one side of the face is concerned that the disease can develop on the other side in the future. What should the nurse respond to the mother about this concern?
A) The child is immune to further attacks of the disease. B) It does not matter because mumps in adulthood is not serious. C) The child should receive active immunization against mumps. D) There is nothing that can be done to prevent another attack of mumps in the future.
A nurse making a home visit for a patient living in a high-crime area observes that the apartment building does not have outside lighting. Why is this an important assessment?
A) It will make the patient less able to go to social gatherings. B) Assessment includes risk factors in the home. C) Although important, this assessment is irrelevant to care. D) Nurses in home healthcare are not concerned with safety.
Nursing assistant care for the patient with peripheral vascular disease includes
A. making sure there is no pressure on the feet. B. keeping the toenails trimmed short to prevent injury. C. assisting the patient to ambulate in socks. D. washing the feet in hot water to prevent infection.