A client with a neurological disease has difficulty swallowing. Which does the nurse include in the plan of care?
1. Limit oral intake to clear liquids.
2. Allow adequate time for the feeding.
3. Ask family members to coach the client.
4. Maintain low-Fowler's position for meals.
2
2. The nurse plans an adequate amount of time for client feeding to prevent compli-cations from impaired swallowing. With nursing supervision and encouragement and in a relaxed manner, the food is prepared properly, and the client chews food tho-roughly, swallows as necessary, and takes short breaks while feeding.
1. Clear liquids can be contraindicated for the client.
3. Family coaching may pressure, misdirect, or shame the client; increase the risk of aspiration or choking; and decrease the client's appetite. In addition, if the family is present during feeding, the client lacks nursing supervision.
4. Low-Fowler's position is contraindicated for swallowing difficulties and feeding because an upright position facilitates swallowing.
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