# A client after a stroke coughs when drinking thin liquids. Which nursing action best promotes safe nutrition?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396623&lang=en  
> language: en  
> subject: Assistive Devices  
> category: BCC

## Question

A client after a stroke coughs when drinking thin liquids. Which nursing action best promotes safe nutrition?

## Option

1. Offer thin liquids through a straw to make swallowing faster.
2. Place the client supine during meals to reduce fatigue.
3. Keep the client upright and follow the prescribed texture and liquid consistency plan. **✔ Correct answer**
4. Encourage the client to eat quickly before coughing begins.

**Correct answer: 3**

## 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.

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