UNDERSTANDING MEDICAL-SURGICAL NURSING 5th Edition Chapter 49

UNDERSTANDING MEDICAL-SURGICAL NURSING 5th Edition Chapter 49 1, 2, 4 can all help reduce aspiration. Straws and placing food on the affected side (where the patient may not be aware of it) increase risk. - correct answersWhat interventions can help prevent aspiration in a poststroke patient with dysphagia? Select all that apply. 1. Ensure that patient is fully alert before feeding. 2. Place the patient in high-Fowler's position or chair for meals. 3. Use straws for thin liquids. 4. Use a thickening agent. 5. Place food on affected side of mouth. 1. The patient may be experiencing unilateral neglect or visual deficits. Turning the plate and observing can help identify the problem. - correct answersA nurse is caring for a patient who is recovering from an ischemic stroke. Upon entering the room to pick up the supper tray, the nurse notes that the patient has only eaten food on the left side of the tray. What should the nurse do? 1. Turn the plate 180 degrees and observe the patient's response. 2. Remove the tray and do not comment. 3. Encourage the patient to eat the rest of the meal. 4. Assist the patient by providing finger foods and feeding the patient items that require a utensil. 3, 5, 6. Diabetes, high cholesterol, and obesity are all treatable to reduce the risk of stroke. - correct answersWhich of the following are modifiable risk factors that should be taught to patients at risk for stroke? Select all that apply. 1. Heredity 2. Age 3. Diabetes 4. Race 5. High cholesterol 6. Obesity 3. Call for help immediately. The patient could be experiencing an extension of the bleed or ischemic area. - correct answersA nurse is doing an afternoon assessment on a patient transferred to a medical unit from intensive care following a subarachnoid hemorrhage. The patient was alert and oriented during the morning assessment