# A client with dysphagia is eating lunch. Which action should the nurse take to reduce aspiration risk?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397181&lang=en  
> language: en  
> subject: Elimination  
> category: BCC

## Question

A client with dysphagia is eating lunch. Which action should the nurse take to reduce aspiration risk?

## Option

1. Offer thin liquids rapidly through a straw.
2. Place the client flat for 30 minutes after the meal.
3. Keep the client upright and provide small bites at a slow pace. **✔ Correct answer**
4. Encourage talking throughout the meal to assess alertness.

**Correct answer: 3**

## Explanation

Upright positioning, small bites, and a slow pace help reduce aspiration risk for a client with dysphagia. Thin liquids by straw may increase risk depending on the swallow plan. Lying flat and talking while eating also 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 feeding 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 feeding 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 lead to aspiration or inadequate intake.
- **Aspiration Precautions** — Measures used to reduce entry of food or fluid into the airway.
- **Feeding Assistance** — Support provided to promote safe and adequate oral intake.

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