A client with esophageal cancer and dysphagia states that it has become more difficult to swallow, and the client has experienced several choking episodes during meals
Which strategy would the nurse recommend to assist this client in obtaining adequate nutrition? a. Monitor caloric intake and weigh the client daily.
b. Instruct the client to drink only clear liq-uids.
c. Tell the client that artificial feeding will now be required.
d. Encourage the client to eat semisoft foods and thickened liquids.
D
The client with dysphagia usually is able to tolerate swallowing semisoft foods and/or thickened liquids to obtain adequate intake. Monitoring caloric intake and weighing the client are good for monitoring response to therapy but will not help the client obtain nutrition. Clear liquids alone may not provide enough calories or nutrients. Efforts are made to preserve swallowing ability as long as possible, although in the case of complete obstruction, a feeding tube may be necessary.
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