The nurse plans care for four clients and assigns client feeding to the unlicensed assistive personnel (UAP). Which client does the nurse think is least suitable for feeding by the UAP?
1. The client who refuses most of the meals served
2. The client who is learning to use adaptive utensils
3. The client who swallows four times for a piece of food
4. The client who takes ice chips on postoperative day 1
3
3. The client who swallows four times for each piece of food exhibits signs of dys-phagia and is at high risk for aspiration. Until the nurse assesses the client for dys-phagia, consults with other members of the health care team, and collaborates on a plan of care, the nurse must assume responsibility for the client's aspiration precau-tions; however, the nurse instructs the UAP to observe for choking and coughing.
1. The UAP is instructed to assist the client who refuses most meals by encouraging the client, avoiding coercion to get the client to eat, and reporting the amount of food eaten by the client.
2 and 4. With training and instruction, the UAP is able to assist the client learning how to use adaptive utensils and the postoperative client with ice chips.
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