Question

a nurse is caring for a client who has impaired swallowing due to a cerebrovascular accident. which of the following interventions should the nurse use to assist the client with feeding? provide the client with a straw. offer the client thin fluids. elevate the head of the bed 45° to 90°. place food in the weaker side of the mouth.

Explanation:

• For a client with impaired swallowing (dysphagia) from a cerebrovascular accident, proper positioning is crucial. Elevating the head of the bed 45° to 90° (semi - Fowler's to Fowler's position) helps prevent aspiration by using gravity to facilitate swallowing and keep the airway clear.
• Providing a straw can increase the risk of aspiration as it requires more forceful suction.
• Thin fluids are more difficult to control and increase aspiration risk compared to thickened fluids.
• Placing food in the weaker side of the mouth is incorrect; food should be placed in the stronger side to promote chewing and swallowing.

Answer:

C. Elevate the head of the bed \( 45^\circ \) to \( 90^\circ \).