A 48-year-old man diagnosed with amyotrophic lateral sclerosis is having difficulty with swallowing. The family feels the patient has been choking and coughing excessively at mealtimes
The patient's temperature is elevated, his respiratory rate is 32 breaths/min, and he is using accessory muscles on inspiration. The nurse should make which of the following assessments?
A) Range of motion
B) Lung auscultation
C) Neurologic assessment
D) Urine output
Ans: B
Feedback: The patient is at risk for aspiration and is showing clinical signs of respiratory distress with marked tachypnea. The chest should be assessed for atelectasis.
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A client is recovering from surgery to remove 8 inches of the transverse colon. What teaching related to protein digestion should the nurse prepare for this client?
a. Complementary protein to make sure all amino acids are consumed daily b. Minimal teaching since proteins are digested mostly in the small intestine c. Avoid eating meat and dairy products together because this may cause indigestion d. Soft sources of complete protein, such as eggs, will be preferable to meet protein needs
When teaching a client who is prescribed a tetracycline, the nurse should instruct the client to avoid:
a. dairy products. c. vitamin B-12. b. zinc. d. iron.
Tommy is 6 years old and diabetic. When planning care with Tommy and his parent(s), you
A) Involve Tommy in decisions about his diet B) Tell Tommy what he can and cannot eat C) Tell his parents what "special" desserts and snacks are "good" for him D) Tell Tommy that he is "different" from his friends
Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching aimed at:
a. discouraging sexual expression b. using birth controls measures c. avoiding blood transfusions d. encouraging condom use