The patient with a brain tumor may have problems with aspiration related to cranial nerve dysfunction. What is the best nursing intervention for the patient who has a diminished gag response?
A) Elevate the bed to 30 degrees to feed the patient.
B) Direct food to the affected side when swallowing.
C) Offer a semi-soft diet.
D) Encourage clear oral fluids.
Ans: C
Feedback: The patient with a brain tumor may have problems with aspiration related to cranial nerve dysfunction. Preoperatively, the gag reflex and ability to swallow are evaluated. If there is a diminished gag response, care includes teaching the patient to direct food and fluids toward the unaffected side, having the patient sit upright to eat, offering a semi-soft diet, and having suction readily available. Function should be reassessed postoperatively because changes can occur.
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