A nurse evaluates the plan of care for a client who experienced ...

[tsand2]

A nurse evaluates the plan of care for a client who experienced an ischemic stroke. Which of the following assessment findings should signal the nurse to the possibility that the client has developed dysphagia?
 
  A) The client complains of being excessively hungry.
  B) The client drinks large amounts of water with meals.
  C) The client pockets food in the affected cheek during meals.
  D) The client prefers to sit in a high Fowler's position after eating.

Question 2

A nurse manager of the long-term care facility develops plans to reduce nutritional deficits. Which of the following interventions is appropriate to include in the plan?
 
  A) Encourage residents to eat in their rooms to minimize distractions.
  B) Offer four to five small meals a day rather than three larger meals.
  C) Promote oral care for residents multiple times each day.
  D) Provide incentives for residents to eat all the food on their trays.

[meryzewe]

Answer to Question 1

Ans: C
Pocketed food suggests dysphagia. Sitting upright after meals prevents, rather than indicates, dysphagia and neither hunger nor high fluid intake is indicative of dysphagia.

Answer to Question 2

Ans: C
Adequate oral care is important in the promotion of adequate food intake, because it enhances chewing, eating, and swallowing. Eating alone is associated with lower caloric intake. Offering incentives may be construed as coercive or patronizing. Frequent, small meals may be necessitated by certain medical conditions, but this is not a recognized strategy for the promotion of nutrition among a larger group of older adults.

[tsand2]

Excellent

[milbourne11]

Wow, this really help