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    Ati Fundamentals 2023 Proctored Exam

    A nurse is reviewing the prescriptions for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify?

    Explanation & Rationale

    Rationale A. Speech therapy referral: Referral to speech therapy is appropriate for a client with dysphagia, as a speech-language pathologist can assess swallowing ability and provide strategies to reduce aspiration risk. This supports safe oral intake and rehabilitation. B. Clear liquids: Prescribing a clear liquid diet may be unsafe for a client with dysphagia, particularly if the client has difficulty swallowing thin liquids, which can increase the risk of aspiration. The nurse should clarify this prescription and consider thickened liquids or alternative feeding methods based on the speech therapist’s assessment. C. Oral suction at the bedside: Having oral suction available is appropriate for a client with dysphagia to quickly manage secretions or prevent choking and aspiration during oral intake. This intervention promotes safety. D. Dietitian consult: Consulting a dietitian is appropriate to ensure the client receives adequate nutrition and a safe texture-modified diet. The dietitian can recommend consistency adjustments and nutrient-dense options tailored to the client’s swallowing abilities.

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