A client with esophageal cancer and dysphagia states it has become more difficult to swal-low, and the client has experienced several choking episodes during meals
What strategy would the nurse recommend to assist this client in obtaining adequate nutrition? A. Encourage the client to eat semisoft foods and thickened liquids.
B. Tell the client that artificial feeding will now be required.
C. Instruct the client to drink only clear liquids.
D. Monitor caloric intake.
A
The client with dysphagia is usually able to tolerate swallowing semisoft foods and/or thickened liquids to obtain adequate intake. Clear liquids alone may not provide enough calories or nu-trients. Efforts are made to preserve swallowing ability as long as possible, although in the case of complete obstruction, a feeding tube may be necessary.
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The nurse educator is teaching a group of students about psychiatric–mental health nursing concepts. Which intervention best demonstrates practicing with the concept known as detached concern?
1. Sharing personal beliefs and opinions in order to enhance connection with the client 2. Providing a critical perspective of the client's feelings 3. Setting rigid boundaries to separate the nurse's experience from the client's 4. Sitting quietly with a client who is sobbing uncontrollably
What would a nurse ensure before beginning a health assessment?
A) That the time needed for the assessment fits into the nurse's work schedule B) That the room is private, quiet, warm, and has adequate light C) That family members are present to answer specific questions D) That there is a written physician's order for the assessment
To adequately assist a client and family from a different culture with the death and dying process, the nurse must
A) Understand the client's cultural beliefs B) Progress through the stages of grief C) Experience death in his own life D) Have felt distress and anger
The patient who has had diarrhea for the last 3 days has blood gases of pH of 7.1, HCO3- of 20 mEq/L, and PCO2 of 36 mm Hg. These laboratory values are consistent with which acid-base imbalance?
a. Respiratory alkalosis b. Metabolic alkalosis c. Respiratory acidosis d. Metabolic acidosis