Question 1

Hillary Stank (CMA) is about to bring the meal tray to the room of Mrs. Agnes Wilbur, a 69 year-old resident, who survived a stroke with some neurological deficits and moderate dysphagia. Which of the following statement is incorrect about a client with dysphagia?

A)The client will find pureed or soft foods, such as custards, easier to swallow than water
B)Fowler's or semi Fowler's position reduces the risk of aspiration during swallowing
C)The client should always feed herself
D)The medical assistant should perform oral hygiene before assisting with feeding

The client should always feed herself

Accepted Answer

A client with dysphagia should not always feed herself. Dysphagia means difficulty swallowing. The client is never left alone to eat because this can result to aspiration, wherein food enters the airway and obstructs the lungs. In clients with dysphagia, consistency in food thickness (dysphagia diet) and positioning the client in Fowler's or semi-Fowler's position are necessary to prevent aspiration. Prior to giving the meal, clients need to eliminate (to prevent interruptions) and be given oral care (to promote satiety of the food intake).

Question 2

What is the heel bone called?&#10;A)Patella&#10;B)Calcaneus&#10;C)Plantaris&#10;D)Achilles

Accepted Answer

The heel bone is technically called the calcaneus.
It is the largest of the foot bones. The Achilles tendon attaches to the calcaneus.

Question 3

Apnea seen in clients with Cheyne-Stokes respiration is defined as:&#10;A)Inability to breath in a supine position, so the patient sits up in bed to breathe&#10;B)An absence of breathing for a period of time, usually 15 seconds or more&#10;C)Slow, shallow, and sometimes irregular respirations&#10;D)None of the above

Accepted Answer

Apnea in clients with Cheyne-Stokes respiration is defined as an absence of breathing for a period of time, usually 15 seconds or more. Inability to breath in a supine position is orthopnea. Slow, shallow, and sometimes irregular respirations refers to hypoventilation.

Question 4

You are about to bring the meal tray to the room of Mrs. Agnes Wilbur, a 69 year-old resident, who survived a stroke with some neurological deficits and moderate dysphagia. Which of the following statement is incorrect about a client with dysphagia?

A)The client will find pureed or soft foods, such as custards, easier to swallow than water
B)Fowler's or semi Fowler's position reduces the risk of aspiration during swallowing
C)The client does not need assistance or observation white eating
D)The nurse aid should perform oral hygiene before assisting with feeding

Accepted Answer

A client with dysphagia should not always feed themselves. Dysphagia means difficulty swallowing, so the client is never left alone to eat because this can result in aspiration, where food enters the airway and obstructs the lungs. In clients with dysphagia, consistency in food thickness (dysphagia diet) and positioning the client in Fowler's or semi-Fowler's position are necessary to prevent aspiration. Prior to giving the meal, clients need to eliminate (to prevent interruptions) and be given oral care (to promote satiety of the food intake).

Question 5

A client prescribed phenytoin (Dilantin) had his blood drawn for routine monitoring of his serum phenytoin level. The laboratory result reveals a serum level of 18 mcg/ml. The nurse interprets that the client's serum phenytoin level:

A)Is below the normal range
B)Is within the normal range
C)Is above the normal range
D)Needs further assessment

Accepted Answer

The therapeutic serum level for phenytoin is between 10 and 20 mcg/ml. The client's serum level is within the normal range.

Question 6

What does the A stand for in a B-R-A-T diet?&#10;A)Apples&#10;B)Applesauce&#10;C)Avocado&#10;D)Almonds

Accepted Answer

The A in the B-R-A-T diet stands for applesauce. B-R-A-T stands for banana, rice, apple sauce, and toast, and is a common recommended menu for patients with upset stomach, diarrhea, or nausea.

Deck 4: Medical Assisting, NNAAP, and Pharmacological