The LPN has been asked to help a patient eat who has impaired swallowing due to a stroke. What should be included in the plan of care? (Select all that apply.)
a. Have suction equipment available.
b. Stay with the patient during meals.
c. Encourage the patient to eat slowly.
d. Offer the patient a straw for liquids.
e. Instruct the patient to try to chew on both sides of the mouth.
f. Place the patient in high Fowler's position or in a chair for meals.
ANS: A, B, C, F
High Fowler's position can help reduce aspiration risk. The nurse should stay with the patient and be prepared to use suction in case aspiration does occur. D. Straws and thin liquids increase risk of aspiration. E. The patient should chew on the unaffected side; if he or she chews on the affected side, it is difficult to sense the food, and pocketing may occur. Patients should be encouraged to eat slowly and chew his or her food thoroughly.
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Fill in the blanks with correct word
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