A 72-year-old client is recovering from a left-sided ischemic stroke.
Item 1 of 1
- Nurses' Notes
The client is day 5 post-ischemic stroke. Right-sided weakness noted and oropharyngeal dysphagia confirmed by a recent speech-language pathology evaluation. The client’s spouse reports that the client sometimes coughs while drinking ice water. The client’s current diet order is soft solids with thickened liquids. Dietary education was reviewed with the client and spouse.
The nurse is planning safe eating strategies for the client.
Complete the following sentences by choosing from the list of options.
The nurse is planning safe eating strategies for the client.
Complete the following sentences by choosing from the list of options.
The nurse should select a
beverage as the liquid consistency. The nurse should place the client in a(n)
position during meals. The nurse should instruct the client to
to decrease the risk of aspiration while swallowing.
Statistics
Subject/Lesson
Subject
Nutrition
Lesson
Nutrition
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Nutrition and Oral Hydration
Item Type
Item Type
GenerateSolutions
Explanation
The client has current orders for soft foods and slightly-thickened liquids to decrease the risk of aspiration. The liquid most consistent with this order is a nectar-thick consistency, which moves more slowly than thin liquids and reduces the risk of entering the airway. Pudding-thick liquids may lead to inadequate fluid intake, while thin liquids move too quickly and are difficult to control.
Positioning the client upright at 90° uses gravity to assist swallowing and minimizes the chance of aspiration; low-Fowler’s positioning significantly increases risk, and semi-Fowler’s is less optimal for feeding.
The chin-tuck technique helps direct food away from the airway during swallowing. Large bites or rapid drinking (continuous sipping) increase aspiration risk. Using a straw is generally avoided unless specifically recommended by a speech therapist, as it can cause liquids to enter the airway too quickly.
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