a nurse is caring for a client following a cva and observes the client experiencing severe dysphagia the nurse notifies the provider which of the foll

ATI RN

ATI Nutrition

1. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?

A. NPO until dysphagia subsides
B. Supplements via nasogastric tube
C. Initiation of total parenteral nutrition
D. Soft residue diet

Correct answer: B

Rationale: In the scenario of severe dysphagia following a CVA, the client may have difficulty swallowing and require alternative nutritional support. Providing supplements via a nasogastric tube allows for the delivery of essential nutrients directly into the stomach, bypassing the swallowing difficulties. NPO (nothing by mouth) until dysphagia subsides may be too restrictive for the client's nutritional needs. Initiation of total parenteral nutrition is usually reserved for cases where enteral feeding is not possible or contraindicated. A soft residue diet may not be suitable for a client experiencing severe dysphagia.

2. Which breakfast item should be recommended for a vegan adolescent to combine protein?

A. Bagel with cream cheese
B. Wheat toast with jelly
C. Oatmeal pancakes with peanut butter
D. Eggs with tofu bacon

Correct answer: C

Rationale: Oatmeal pancakes with peanut butter provide a protein combination suitable for a vegan diet.

3. Which food is most likely to be included in a low-fiber diet?

A. Broccoli
B. Ripe Bananas
C. Onions
D. Whole-Grain Bread

Correct answer: B

Rationale: A low-fiber diet is generally recommended for individuals who need to restrict their intake of dietary fiber for health reasons. Ripe bananas are low in fiber and easy to digest, making them an ideal choice for a low-fiber diet. On the other hand, broccoli, onions, and whole-grain bread are high in fiber. Therefore, they are less suitable for a low-fiber diet as they could cause digestive discomfort or exacerbate certain health conditions. Ripe bananas, being low in fiber, are the most appropriate choice for a low-fiber diet.

4. Furosemide (Lasix) is a drug used to _____.

A. activate vitamin D
B. stimulate appetite
C. lower cholesterol
D. mobilize fluids

Correct answer: D

Rationale: Furosemide is a diuretic that helps mobilize fluids by increasing urine output, often used to treat conditions like edema and heart failure.

5. Miss CEE is admitted for treatment of major depression. She appears withdrawn, disheveled, and states 'Nobody wants me'. What does the nurse most likely expect that Miss CEE is to be placed on?

A. Neuroleptics medication
B. Special diet
C. Suicide precaution
D. Anxiolytics medication

Correct answer: C

Rationale: Given Miss CEE's state of major depression and her expressed feelings of worthlessness ('Nobody wants me'), the nurse would most likely expect her to be placed on suicide precaution. This means that measures would be taken to ensure her safety and to prevent her from harming herself. While medications like neuroleptics (Choice A) and anxiolytics (Choice D) might be employed as part of her overall treatment, these medicines are primarily used for conditions like psychosis and anxiety respectively, not specifically for depression or suicidal ideation. A special diet (Choice B) may be part of a comprehensive treatment plan, but it is not as immediate or as directly related to her current emotional and psychological state as suicide precaution is.