Indicate which interventions would help prevent aspiration during eating for a client with a temporary tracheostomy. (Select all that apply.)
A. Avoid having the client eat a meal when he or she is fatigued.
B. Add water or broth to foods to make them thinner and easier to swallow rapidly.
C. Inflate the cuff of the tracheostomy tube to maximum pressure before initiating a feeding to mechanically block aspirated food from moving further down the airway.
D. When feeding the client, allow the client to indicate when he or she is ready for the next bite.
E. Encourage the client to tuck his or her chin downward and forward while swallowing.
F. Urge the client to swallow 3 to 4 bites or mouthfuls in a row to reduce the time when he or she is at risk for aspiration.G. Place the client in lithotomy position for 30 minutes immediately following a meal.
A, D, E
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