The nurse plans care for a client with impaired swallowing. Which outcome does the nurse include in the client's plan of care?
1. Pouches food boluses in the mouth.
2. Observes upward movement of larynx.
3. Stabilizes weight for 3 consecutive days.
4. Swallows four times after each mouthful.
3
3. A suitable outcome for a client with impaired swallowing is weight stabilized over 3 days. This indicates the client is ingesting and absorbing sufficient nutrients to avoid weight loss.
1, 2, and 4. Because the nurse plans to improve nutrition for the client with impaired swallowing, the nurse avoids using pouching food in the mouth, retrograde laryngeal movement, and swallowing four times for each mouthful as desirable outcomes of nursing care because they are consistent with neuromuscular dysfunction of chewing or swallowing.
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