[NCLEXexpert]

A patient is admitted to the hospital for cerebrovascular accident (CVA) with left side hemiparesis. The nurse would be most concerned if the nursing assistant is observed doing which of the following actions.

a. Position the client in high fowlers position.
b. Thin clients liquid
c. Remove client’s dentures
d. Place food on the unaffected side of the mouth

ANSWER B

Rationale

a. Head of bed is elevated during meals
b. Liquids should be thick to prevent asipration
c. Dentures should be left in place to enhance chewing ability
d. Food is placed on unaffected side to enhance chewing ability



Reference.
Smeltzer,S, Bare, B.
Medical/Surgical Nursing 10th Ed (2004)


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