A nurse is planning dietary measures for an older client who is experiencing dysphagia. Which action should the nurse include in the plan of care?
A. Encouraging the client to feed herself
B. Ensuring that most of the diet consists of liquids
C. Monitoring the client during meals to ensure that food is swallowed
D. Consulting with the health care provider regarding feeding through an enteral tube
Ans: C. Monitoring the client during meals to ensure that food is swallowed
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A patient has terminal lung cancer and is unconscious. Which of the following assessments indicates to the nurse that the patient's death is imminent?
A) Mottling to the lower limbs B) Slow, steady pulse C) Shallow breathing D) Increased swallowing
A nurse is assessing a child who has a diagnosis of muscular dystrophy. Assessment reveals that the child's muscles have greater-than-normal tone. The nurse should document the presence of which of the following?
A) Tonus B) Flaccidity C) Atony D) Spasticity
When critiquing a research study's theoretical framework, the nurse should keep in mind which information? (Select all that apply.)
a. Theoretical frameworks guide hypothesis formulation in qualitative and quantitative research studies. b. Theoretical frameworks can be implicitly or explicitly stated in a research report. c. A theoretical framework of a nursing research study must be based on nursing theories or models. d. A theoretical framework may not be identified in all types of nursing research.
The nurse is caring for a client who has just received a diagnosis of advanced oral cancer that will require extensive surgery. Which statement by the client indicates that the diagnosis is accepted?
a. "The biopsy test results will be confirmed again next week." b. "Of all the bad things to happen to me, now I have cancer on top of it all." c. "If I can live long enough to see my son get married, everything will be alright." d. "I don't like it, but I have cancer and that's the way it is."