The nurse plans care for a patient with impaired swallowing. Which outcome would be appropriate for the nurse to include in the patient's plan of care?
a. The patient holds food in the pockets of the mouth.
b. The nurse observes no movement of the larynx during swallowing.
c. The patient maintains a stabilized weight for 3 consecutive days.
d. The patient swallows four times after each mouthful.
C
A suitable outcome for a patient with impaired swallowing is that weight stabilizes over 3 days. This indicates that the patient is ingesting and absorbing sufficient nutrients to avoid weight loss. Holding amounts of food in the pockets of the mouth indicates difficultly moving the food for chewing and swallowing. Movement of the larynx normally occurs during swallowing. Swal-lowing four times for each mouthful is not a desirable outcome of nursing care because this be-havior is consistent with neuromuscular dysfunction of chewing or swallowing.
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