NURSING 4271-NCLEX QUESTIONS.

NURSING 4271-NCLEX QUESTIONS/NURSING 4271-NCLEX QUESTIONS. STROKE 1. A client is eating a soft diet while recovering from a stroke. The client reports food accumulating in the cheek of the affected side. What is the nurse’s best response? 1. “Let’s see if the dietitian can help. 2. “Let’s see if the speech-language pathologist can help.” 3. “Let’s advance your diet to solid food.” 4. “Next time you eat, try lifting your chin when you swallow.” Answer: B Rationale: The speech-language pathologist identifies strategies to prevent food from accumulating in the cheek of the affected side of a client recovering from a stroke. The correct technique to improve swallowing is the chin-tuck method; however, the speech pathologist will assist the client with tongue exercises that will help move the food bolus to the unaffected side. Solid food is not appropriate for the client with chewing and swallowing challenges. The dietitian consults with the health care team if the client has had weight loss problems, or if abnormal laboratory results indicate a nutritional deficit