vSim for Nursing: Fundamentals: Vernon Russell
Questions and Answers 100% correct
A patient is experiencing dysphagia following a
stroke. How should the nurse position the patient
when administering medications?
a) Semi-Fowler's
b) Supine
c) High Fowler's
d) Left lateral - ✔✔ANSW✔✔..👌c) High Fowler's
Explanation: The nurse should position the patient
as 90 degrees (High Fowler's) or should sit the
patient upright in a chair. The nurse should not
position the patient supine (on back), semi-Fowler's
(45 degrees), or left lateral (on the side) during
medication administration, because these positions
can impede swallowing and the passage of
food/liquids into the stomach.
A patient with dysphagia following a stroke
expresses concern about having difficulty eating and
drinking. What is the appropriate reply by the nurse?
a) You sound worried; tell me more about your
concerns
, b) Muscle weakness frequently occurs after a stroke;
we need to make sure that food is not going into
your lungs
c) We need to make sure your GI tract is working
prior to giving you food.
d) You will need to ask your provider -
✔✔ANSW✔✔..👌b) Muscle weakness frequently
occurs after a stroke; we need to make sure that
food is not going into your lungs
Explanation: The appropriate reply by the nurse
would be to explain that muscle weakness frequently
occurs after a stroke. Making sure the GI tract is
functioning would be an appropriate action to take
after surgery. Telling the patient to ask the provider
is inappropriate because the nurse is able to answer
this question. Although the patient may seem
worried, the question is specifically about patient
teaching rather than therapeutic communication.
The appropriate reply by the nurse would be to
answer the question.
The nurse has an order to complete neurochecks
every four hours. Which assessments would the
nurse include in the neurological examination?
(Select all that apply.)
a) Range of motion
b) Level of consciousness
Questions and Answers 100% correct
A patient is experiencing dysphagia following a
stroke. How should the nurse position the patient
when administering medications?
a) Semi-Fowler's
b) Supine
c) High Fowler's
d) Left lateral - ✔✔ANSW✔✔..👌c) High Fowler's
Explanation: The nurse should position the patient
as 90 degrees (High Fowler's) or should sit the
patient upright in a chair. The nurse should not
position the patient supine (on back), semi-Fowler's
(45 degrees), or left lateral (on the side) during
medication administration, because these positions
can impede swallowing and the passage of
food/liquids into the stomach.
A patient with dysphagia following a stroke
expresses concern about having difficulty eating and
drinking. What is the appropriate reply by the nurse?
a) You sound worried; tell me more about your
concerns
, b) Muscle weakness frequently occurs after a stroke;
we need to make sure that food is not going into
your lungs
c) We need to make sure your GI tract is working
prior to giving you food.
d) You will need to ask your provider -
✔✔ANSW✔✔..👌b) Muscle weakness frequently
occurs after a stroke; we need to make sure that
food is not going into your lungs
Explanation: The appropriate reply by the nurse
would be to explain that muscle weakness frequently
occurs after a stroke. Making sure the GI tract is
functioning would be an appropriate action to take
after surgery. Telling the patient to ask the provider
is inappropriate because the nurse is able to answer
this question. Although the patient may seem
worried, the question is specifically about patient
teaching rather than therapeutic communication.
The appropriate reply by the nurse would be to
answer the question.
The nurse has an order to complete neurochecks
every four hours. Which assessments would the
nurse include in the neurological examination?
(Select all that apply.)
a) Range of motion
b) Level of consciousness
