Nokea
What should be suggested to a patient to aid with the pain of claudication?
- A. Rest
- B. Exercise
- C. Cross legs
- D. Stand
Correct Answer: A
Rationale: A nursing intervention to relieve pain is to recommend the patient rest periodically until the pain subsides. Exercise and standing for long periods of time can exacerbate the pain. Crossing the legs can limit blood flow to the extremities and increase pain.
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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.
Which symptom of diabetes distorts tactile sensation?
- A. Proprioception
- B. Loss of visual acuity
- C. Progressive paresis
- D. Peripheral neuropathy
Correct Answer: D
Rationale: Peripheral neuropathy is the presence of abnormal sensation and it distorts tactile sensation.
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.
An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?
- A. Chin parallel
- B. Chin upward
- C. Chin down
- D. Chin to the side
Correct Answer: C
Rationale: The upright position, leaning slightly forward with the chin down, improves swallowing with the assistance of gravity.
At mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult?
- A. More fluids
- B. Less calcium
- C. Fewer calories
- D. More vitamins
Correct Answer: C
Rationale: The older adult requires 30 calories per kilogram of body weight, whereas the younger adult requires 40 calories.