Weekly NCLEX/HESI Question for January 27


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January 27

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The patient has had surgery and has a permanent tracheostomy for treatment of cancer. The client's vocal cords are still intact. The nurse intervenes postoperatively for nutritional needs of the patient. Place the following needs in the order of the most importance first.
Evaluate and encourage swallowing exercises
Monitor weight, intake and output
Assess for the client's ability to swallow or any aspiration
Provide feeding or total parenteral nutrition as per doctor’s order
Question 1 Explanation: 
The correct answer is (c). Ability to swallow is the primary concern with this patient. Nutritional needs will be based upon this.
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