A nurse is caring for a client who has dysphagia following a stroke. When assisting the client at mealtime, which of the following actions should the nurse plan to take?

A. Instruct the client to tilt their head back to facilitate swallowing: Tilting the head back increases the risk of aspiration in clients with dysphagia. Proper swallowing technique usually involves a slight forward or chin-tuck position to protect the airway during eating. B. Schedule physical therapy directly before meals: Physical therapy immediately before meals may cause fatigue, increasing the risk of choking or aspiration during feeding. Mealtimes should be planned when the client is alert and rested to ensure safe swallowing. C. Provide oral care before meals: Performing oral care before meals removes bacteria and food debris, reducing the risk of aspiration pneumonia. A clean mouth also improves taste sensation and stimulates saliva, aiding the swallowing process safely. D. Encourage the client to use a straw: Using a straw can increase the risk of choking or aspiration for clients with dysphagia because it can deliver liquid too quickly and bypass natural swallowing coordination. Direct sipping from a cup under supervision is safer.