The nurse is assisting a frail adult with an impaired swallowing mechanism to eat a nutritious meal. Which of the following nursing interventions would be appropriate for this client?
A) Have the client lie in bed for meals.
B) Cut the food into large pieces and allow the client to cut smaller pieces.
C) Suggest that the client bend the chin toward the chest.
D) Provide larger, less frequent, meals of semisolid foods.
C
Feedback:
Suggesting that the client bend the chin toward the chest while swallowing can help in preventing aspiration (choking). For meals, the nurse should elevate the head of the bed or, if possible, have the client sit in a chair. Cutting food into small bites will enable the client to chew food easily and helps prevent choking. Clients may better tolerate semisolid foods and thickened liquids and may prefer small, frequent meals to large, less frequent meals.
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