A client who received chemotherapy and radiation for head and neck cancer is experiencing profound dysphagia. What actions can the nurse suggest to deal with this condition?
1. Encourage hot or warm beverages
2. Use peanut butter as a spread on bread
3. Avoid foods that have a metallic taste
4. Avoid foods that are dry, coarse, or sticky
4
Rationale: A client experiencing dysphagia, difficulty swallowing, should choose soft, moist foods. Hot beverages are not recommended in the client with dysphagia. Peanut butter has no special significance but is sticky and may be difficult for the client to eat. Avoiding sticky or lumpy food is advised. Some clients may report a metallic taste related to chemotherapy treatments. Avoiding metallic-tasting foods may be helpful but will not impact dysphagia.
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