NCLEX-RNBasic Care and ComfortEasy
A nurse is caring for a client newly diagnosed with dysphagia after a stroke. Which action should the nurse include in the plan of care?
- AInstruct the client to tilt the head back while swallowing
- BOffer thin liquids through a straw to encourage swallowing
- CEncourage the client to talk while eating to promote relaxation
- DProvide nectar-thickened liquids and monitor for coughing during meals
Show answer & explanationAnswer & explanation
Correct answer: D. Provide nectar-thickened liquids and monitor for coughing during meals
Thickened liquids move more slowly through the oropharynx, reducing the risk of aspiration in clients with dysphagia. Monitoring for coughing helps detect silent aspiration early.
Why the other options are wrong
- A. Head tilted back increases aspiration risk by opening the airway.
- B. Thin liquids move quickly and increase aspiration risk in dysphagia.
- C. Talking while eating increases the risk of choking and aspiration.
Dysphagia Diet Modification
Altering food and liquid consistency to reduce aspiration risk in clients with impaired swallowing.
- Thickened liquids (nectar, honey, pudding) slow transit time
- Chin-tuck position reduces aspiration risk
- Monitor for coughing, throat clearing, or wet voice during meals
Memory trick: Thick and slow keeps liquids where they need to go.