A client after a stroke coughs when drinking thin liquids. W… | MyMerci
Assistive DevicesBCC
Question
A client after a stroke coughs when drinking thin liquids. Which nursing action best promotes safe nutrition?
1Offer thin liquids through a straw to make swallowing faster.
2Place the client supine during meals to reduce fatigue.
3Keep the client upright and follow the prescribed texture and liquid consistency plan.✓ Correct answer
4Encourage the client to eat quickly before coughing begins.
Explanation
Coughing with thin liquids suggests aspiration risk. Upright positioning and following the prescribed swallow plan support safe intake. Straws, supine positioning, and rushing meals can increase aspiration risk.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Dysphagia aspiration precautions.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Dysphagia aspiration precautions, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Dysphagia — Difficulty swallowing that can occur after stroke or other conditions.
Aspiration — Entry of food, fluid, or secretions into the airway.
Texture Modification — Changing food or liquid consistency to improve swallowing safety.