Nokea
The nurse recognizes that a term referring to mechanical difficulty of swallowing is
Correct Answer: dysphagia
Rationale: Dysphagia is a term that refers to mechanical difficulties in swallowing.
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The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?
- A. Pursed-lip breathing
- B. Increased inspiration
- C. Vital capacity
- D. Decreased expiration
Correct Answer: A
Rationale: Pursed-lip breathing can help empty the lungs of used air and promote inhalation of additional oxygen.
When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?
- A. Speak very loudly
- B. Speak rapidly
- C. Lower the tone of the voice
- D. Raise the tone of the voice
Correct Answer: C
Rationale: To communicate with a patient with a hearing loss, the nurse should lower the tone of the voice.
The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent forces.
Correct Answer: shearing
Rationale: Shearing forces cause skin damage by friction; for instance, when a patient is dragged across bed linens during a position change.
Which areas are affected only minimally by age?
- A. Physical activity
- B. Productivity
- C. Cognition
- D. Sexuality
Correct Answer: C
Rationale: Aging has little influence on cognition. Only through disease processes is cognition altered.
What should the nurse do to help the dysphagic patient?
- A. Sit the patient upright.
- B. Reduce distraction during mealtime.
- C. Offer fluid from a straw.
- D. Thicken liquids.
- E. Cue the patient to swallow.
Correct Answer: A,B,D,E
Rationale: Offering fluids using a straw increases the possibility of choking or aspiration. All other options would be beneficial to the dysphagic patient.