A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

A. Gastroesophageal reflux disease: GERD is related to lower esophageal sphincter dysfunction and can cause heartburn and regurgitation. While it affects swallowing comfort, it is not the most immediate or dangerous complication of dysphagia following a stroke. B. Aspiration: Clients with dysphagia after a stroke are at high risk for aspiration because impaired swallowing mechanisms can allow food, liquids, or secretions to enter the airway. Aspiration can lead to pneumonia, airway obstruction, or acute respiratory distress. C. Peptic ulcer disease: Peptic ulcers are typically associated with H. pylori infection, NSAID use, or increased gastric acid production. This condition is not directly linked to stroke-related dysphagia and does not represent an acute risk for this client. D. Dumping syndrome: Dumping syndrome occurs after gastric surgery when food moves too quickly from the stomach into the small intestine. It causes abdominal cramping, diarrhea, and hypoglycemia, but it is not a complication of dysphagia in stroke patients.