A client has been diagnosed as having impaired swallowing and complains of frequent heartburn. The nurse should:
1. Assist the client in maintaining a sitting position for 30 minutes after the meal.
2. Teach the client the "chin tuck" technique when swallowing.
3. Check the client's mouth for pocketing of food.
4. Assist the client to a 90°sitting position, or as high as tolerated, during meals.
1. Assist the client in maintaining a sitting position for 30 minutes after the meal.
Rationale:
Keeping the client upright for a time after the meal will help prevent food from being regurgitated back into the esophagus. The position of the client during the meals as well as teaching the "chin tuck" technique will assist with the swallowing mechanism but will not help with regurgitation. Pocketing food does not cause regurgitation.
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