A nurse is assisting a client with dysphagia during a meal. Which actions should the nurse take? Select all that apply.

Positioning the client upright at 90 degrees reduces aspiration risk by using gravity to aid swallowing. Stopping the feeding when the voice becomes wet or gurgly is critical, as this indicates possible aspiration. Minimizing distractions helps the client focus on the mechanics of swallowing. Offering large spoonfuls increases choking risk and is unsafe. Encouraging talking during chewing can lead to aspiration because the airway may not be protected. Providing thin liquids is contraindicated in dysphagia unless specifically prescribed, as they are harder to control and more likely to be aspirated.