The nurse is caring for an elderly patient who recently experienced a cerebral vascular accident (CVA, or stroke)
The nurse will evaluate which assessment findings as indicating dysphagia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Drooling
2. Slurred speech
3. Pocketing of food in the cheeks
4. Anorexia
5. Frequent throat clearing
1,3,5
Rationale 1: When a patient is at risk for dysphagia, the nurse would evaluate for such findings as drooling.
Rationale 2: Slurring of speech is more likely to be associated with the effects of CVA and is not indicative of dysphagia.
Rationale 3: Pocketing of food in the cheeks is typically associated with dysphagia.
Rationale 4: Dysphagia interrupts the patient's ability to eat and would more likely result in hunger than in anorexia.
Rationale 5: Frequent throat clearing, especially during eating, is typically associated with dysphagia.
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The nurse is establishing a therapeutic alliance with a new client. Which of the following behaviors would enhance the development of a therapeutic one-to-one relationship?
1. Specifically defining emotional and social goals for the client 2. Eagerly encouraging the client to communicate on a superficial level 3. Instinctively sharing personal experiences with the client 4. Spontaneously assisting the client to identify thoughts and feelings
The wife of a patient you are caring for asks to speak with you. She tells you that she is concerned because her husband is requiring increasingly high doses of analgesia
She states, "He was in pain long before he got cancer because he broke his back about 20 years ago. For that problem, though, his pain medicine wasn't just raised and raised." What would be the nurses' best response? A) "I didn't know that. I will speak to the doctor about your husband's pain control." B) "Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings the patient relief." C) "Cancer is a chronic kind of pain so the more it hurts the patient, the more medicine we give the patient until it no longer hurts." D) "Does the increasing medication dosage concern you?"
A nurse caring for a patient who requires long-term management for severe pain recognizes that the drug of choice for this patient is:
a. aspirin. b. morphine. c. oxycodone. d. acetaminophen.
A nurse cares for an 81-year-old client whose current hospital admission has been prompted by an exacerbation of chronic renal failure. Which of the following actions by the nurse will best emphasize the goal of client wellness?
A) Ask for the client's code status be changed to "do not resuscitate." B) Explore the client's abilities and strengths. C) Show the client others who are more ill. D) Teach the client that health problems do not have to affect daily routines.