a nurse is planning care for a client who has acute dysphagia which of the following nursing interventions should be included in the plan of care

ATI RN

ATI Nutrition

1. A client has acute dysphagia. Which of the following nursing interventions should be included in the plan of care?

A. Providing a straw for consumption of liquids
B. Encouraging larger bites
C. Placing the client in semi-Fowler's position during meals
D. Instructing the client to tilt head forward when swallowing

Correct answer: C

Rationale: Placing the client in semi-Fowler's position during meals is the correct intervention for a client with acute dysphagia. This position helps prevent aspiration by facilitating swallowing. Providing a straw for consumption of liquids (Choice A) can increase the risk of aspiration and is not recommended for clients with dysphagia. Encouraging larger bites (Choice B) can also increase the risk of choking and aspiration. Instructing the client to tilt the head forward when swallowing (Choice D) is not the recommended technique for managing dysphagia as it does not address the underlying issue effectively.

2. How many calories does one pound of fat equal?

A. 1500 calories
B. 2500 calories
C. 3500 calories
D. 5000 calories

Correct answer: C

Rationale: One pound of body fat is equivalent to approximately 3500 calories. This is a generally accepted caloric value used in nutrition and weight management. It's important to note that this is an estimation and individual variations may occur. Choice A (1500 calories), Choice B (2500 calories), and Choice D (5000 calories) are incorrect because they do not match the generally accepted caloric value of 3500 calories for one pound of body fat.

3. Each is a physiologic role of vitamin D, except one. Which is the exception?

A. Hematopoiesis
B. Cardiac and neuromuscular function
C. Immune responses
D. Serum calcium regulation

Correct answer: A

Rationale: The correct answer is A, Hematopoiesis. Vitamin D plays a crucial role in regulating serum calcium levels, which is essential for maintaining cardiac and neuromuscular function. Additionally, vitamin D is involved in modulating immune responses. However, hematopoiesis, the formation of red blood cells, is not a direct physiologic role of vitamin D. Therefore, hematopoiesis is the exception among the listed functions of vitamin D.

4. A healthcare provider is evaluating a client who reports paresthesia of the hands and feet. The provider should identify this manifestation as an indication of which of the following dietary deficiencies?

A. Iron
B. Riboflavin
C. Vitamin C
D. Vitamin B12

Correct answer: D

Rationale: Correct! Vitamin B12 deficiency can lead to neurological symptoms, including paresthesia (tingling or numbness) of the hands and feet, due to its role in nerve health. Iron deficiency is more commonly associated with anemia symptoms like fatigue and pallor. Riboflavin deficiency can cause mouth and skin changes. Vitamin C deficiency is linked to scurvy symptoms like bleeding gums and easy bruising.