A client with dysphagia is beginning an oral meal after a sw… | MyMerci
NCLEX-RNBCC
Question
A client with dysphagia is beginning an oral meal after a swallow evaluation. Which nursing action best reduces aspiration risk?
1Give thin liquids through a straw to speed swallowing.
2Place the client in a low semi-Fowler's position.
3Instruct the client to tilt the head back while swallowing
4Position the client upright and provide small bites at a slow pace.✓ Correct answer
Explanation
Aspiration precautions for dysphagia include upright positioning, slow feeding, and small bites or sips according to the swallow plan. Thin liquids, straws, low positioning, and large bites can increase aspiration risk for many clients. The nurse should follow the individualized swallow recommendations.
In-depth explanation
Clinical Judgment Dysphagia care is airway protection during nutrition: position, pace, and texture matter.
Memory Tip Upright, small, slow.
KR vs US NCLEX basic care questions often turn feeding into an airway-safety priority.
Clinical scenario
Clinical Practice Guide After dysphagia evaluation, feeding precautions commonly include upright positioning, texture modification, slow pacing, and monitoring for coughing, wet voice, or respiratory change.
Caution Stop feeding and reassess if coughing, choking, wet voice, or oxygen desaturation occurs.
Key concepts
Dysphagia — Difficulty swallowing that can increase risk for aspiration and poor nutrition.
Aspiration — Entry of food, fluid, or secretions into the airway.
Texture Modification — Changing food or liquid consistency to match the client's swallowing ability.