# A client with dysphagia is beginning an oral meal after a swallow evaluation. Which nursing action best reduces aspiration risk?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394034&lang=en  
> language: en  
> subject: NCLEX-RN  
> category: BCC

## Question

A client with dysphagia is beginning an oral meal after a swallow evaluation. Which nursing action best reduces aspiration risk?

## Option

1. Give thin liquids through a straw to speed swallowing.
2. Place the client in a low semi-Fowler's position.
3. Instruct the client to tilt the head back while swallowing
4. Position the client upright and provide small bites at a slow pace. **✔ Correct answer**

**Correct answer: 4**

## 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.

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