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

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505797&lang=en  
> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

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

1

Position the client upright at a 90-degree angle.

2

Offer large spoonfuls to speed up meal completion.

3

Encourage the client to talk during chewing.

4

Stop feeding if the client’s voice becomes wet or gurgly.

5

Provide thin liquids to ease swallowing.

6

Minimize environmental distractions during the meal.

## Explanation

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.

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