ATI Nutrition
A nurse is caring for a client who has impaired swallowing due to a cerebrovascular accident.
Which of the following interventions should the nurse use to assist the client with feeding?
a) provide the client with a straw
b) offer the client thin liquids
c) elevate the head of the bed 45 to 90 degrees
d) place the food in the weaker side of the mouth - ANS-c) elevate the head of the bed 45 to 90
degrees
Which of the following actions should a nurse take to assess the client who had a stroke for
complications secondary to inadequate swallowing?
a) auscultate the client's lungs
b) place the tip of a tongue depressor on the client's posterior tongue
c) inspect the client's uvula and soft palate with a penlight
d) place fingers on the client's throat at the level of the larynx and ask the client to swallow -
ANS-a) auscultate the client's lungs
silent aspirations are common complication of swallowing impairment
Which of the following food choices are appropriate for a client who is prescribed a full liquid
diet? Select all that apply
a) plain yogurt
b) custard
c) ice cream
d) mashed potatoes
e) pureed meat
f) gelatin - ANS-a) plain yogurt
b) custard
c) ice cream
f) gelatin
A charge nurse is reviewing anthropometric values with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a) Isolated measurements of height and weight are of greater significance than changes over
time
b) a weight increase of 4 pounds in a client who has renal failure indicates retention of 1,000 mL
of fluid
c) the client should be weighed on the same scale at the same time each day
A nurse is caring for a client who has impaired swallowing due to a cerebrovascular accident.
Which of the following interventions should the nurse use to assist the client with feeding?
a) provide the client with a straw
b) offer the client thin liquids
c) elevate the head of the bed 45 to 90 degrees
d) place the food in the weaker side of the mouth - ANS-c) elevate the head of the bed 45 to 90
degrees
Which of the following actions should a nurse take to assess the client who had a stroke for
complications secondary to inadequate swallowing?
a) auscultate the client's lungs
b) place the tip of a tongue depressor on the client's posterior tongue
c) inspect the client's uvula and soft palate with a penlight
d) place fingers on the client's throat at the level of the larynx and ask the client to swallow -
ANS-a) auscultate the client's lungs
silent aspirations are common complication of swallowing impairment
Which of the following food choices are appropriate for a client who is prescribed a full liquid
diet? Select all that apply
a) plain yogurt
b) custard
c) ice cream
d) mashed potatoes
e) pureed meat
f) gelatin - ANS-a) plain yogurt
b) custard
c) ice cream
f) gelatin
A charge nurse is reviewing anthropometric values with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a) Isolated measurements of height and weight are of greater significance than changes over
time
b) a weight increase of 4 pounds in a client who has renal failure indicates retention of 1,000 mL
of fluid
c) the client should be weighed on the same scale at the same time each day
