a client with dysphagia is ready to eat lunch which of these foods on the tray would be best to start with when assisting the client

NCLEX-PN

Safe and Effective Care Environment Nclex PN Questions

1. A client with dysphagia is ready to eat lunch. Which of these foods on the tray would be best to start with when assisting the client?

A. diced fruit
B. apple juice with a liquid thickener
C.
D. toast

Correct answer: B

Rationale:

2. The LPN is preparing to clean a client's PEG tube.The following tasks should the nurse perform EXCEPT?

A. Gently remove crusty drainage from the site.
B. Pull the tube in multiple directions to ensure it is secure.
C. Thoroughly dry the skin around the tube site with a clean towel.
D. Use mild soap to clean around the tube site.

Correct answer: B

Rationale: When cleaning a client's PEG tube, the nurse should perform tasks that focus on gentle cleaning and avoiding potential irritants. Choice A is correct as gently removing crusty drainage helps maintain hygiene. Choice C is important to prevent skin irritation and infection. Choice D is appropriate for cleaning the area. Choices B and D are incorrect. Choice B is incorrect because pulling the tube in multiple directions can lead to dislodgement or injury. Choice B is incorrect as talcum powder may irritate the stoma, and it is generally not recommended near PEG tubes.

3. Which NSAID is comparable to morphine in efficacy?

A. Feldene
B. Stodal
C. Toradol
D. Elavil

Correct answer: C

Rationale: The correct answer is Toradol. Toradol is the first injectable NSAID that has been found to be comparable to morphine in terms of efficacy. Feldene (choice A) is not known for being comparable to morphine in efficacy. Stodal (choice B) is a homeopathic cough syrup and not an NSAID. Elavil (choice D) is a tricyclic antidepressant and not an NSAID, so it is not comparable to morphine in efficacy. Therefore, Toradol is the most appropriate choice as it matches the description provided in the question.

4. What is the term for the tendency of a drug to combine with its receptor?

A. potency
B. efficacy
C. kinetics
D. affinity

Correct answer: D

Rationale: The correct answer is 'affinity.' Affinity refers to the close relationship or mutual attraction between a drug and its receptor, indicating the strength of the drug-receptor bonding. Potency (Choice A) is related to the dose of a drug needed to produce a specific effect. Efficacy (Choice B) refers to a drug's ability to generate the desired effect. Kinetics (Choice C) deals with forces affecting the motion of material bodies or changes in a system, which is not directly associated with the bonding between a drug and its receptor.

5. Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?

A. CPK-BB
B. CPK-MM
C. CPK-MB
D. CPK-MI

Correct answer: C

Rationale: CPK-MB is the correct answer as it is elevated in clients who have had a myocardial infarction. CPK-BB is elevated in clients with brain damage, and CPK-MM is elevated in clients with skeletal muscle damage. CPK-MI, mentioned in the rationale, does not exist, making it an incorrect choice.