During an assessment, the nurse learns that a client is inhaling while swallowing food. Which of the following does this assessment finding suggest to the nurse?
1. The client is recovering from a stroke.
2. The client is at risk for aspiration.
3. The client will experience dyspepsia.
4. The client has esophageal reflux disease.
2
In clients with dysphagia, inspiration commonly occurs during swallowing. This increases the risk for aspiration. This assessment finding does not indicate that the client is recovering from a stroke. This assessment finding does not indicate that the client will experience dyspepsia or that the client has esophageal reflux disease.
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A hospitalized three-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is the most appropriate nursing diagnosis?
1. Knowledge deficit of the procedure 2. Fear related to the unfamiliar environment 3. Anxiety related to anticipated painful procedure 4. Ineffective individual coping related to an invasive procedure
Which of these statements describes the closure of the valves in a normal cardiac cycle?
a. The aortic valve closes slightly before the tricuspid valve. b. The pulmonic valve closes slightly before the aortic valve. c. The tricuspid valve closes slightly later than the mitral valve. d. Both the tricuspid and pulmonic valves close at the same time.
In which situation would a D&C be indicated?
a. Complete abortion at 8 weeks b. Incomplete abortion at 16 weeks c. Threatened abortion at 6 weeks d. Incomplete abortion at 10 weeks
The nurse is preparing a client for magnetic resonance angiography. Which question is a priority at this time?
a. "Have you had a recent blood transfu-sion?" b. "Do you have allergies to iodine or shell-fish?" c. "Do you have a history of urinary tract infections?" d. "Do you currently use oral contracep-tives?"