Which intervention is most likely to minimize weight loss and assure adequate nutri-tional intake in a mildly impaired, older adult client admitted to a rehabilitation facility following a stroke that has resulted in right side weakness and dysphagia?
a. Asking the family to identify foods the client enjoyed prior to the stroke
b. Regular discussion of the client's nutritional status by a multidisciplinary team
c. Providing appropriate assistance with eating at all meals
d. Strict adherence to the protocol for feeding a client with impaired swallowing
ANS: B
A multidisciplinary approach is key to appropriate assessment and intervention for proper management of this client's nutritional issues and should involve medicine, nursing, dietary, physical, occupational, and speech therapy, and social work. The remaining options are fo-cused on encouraging the client to eat and considering the client's risk for injury related to choking, not on the holistic issue of adequate nutrition for this client.
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