An older adult client is referred to a rehabilitation facility following a cerebrovascular accident (CVA).The client is aphasic with left sided paresis and is having difficulty swallowing. Which intervention is most important for the nurse to include in the client's plan of care?

A. Initiate passive range of motion exercises: While important for preventing contractures and maintaining mobility in the affected limbs, this intervention does not address the immediate risk associated with dysphagia, such as aspiration. B. Facilitate a consultation for speech therapy: Speech therapy can assess and provide interventions for both communication deficits and swallowing difficulties. Addressing dysphagia is critical to prevent aspiration, choking, and malnutrition, making this the highest-priority intervention. C. Use pictures and gestures to communicate: Supporting communication is important for client engagement and safety, but it does not directly address the physiological risks associated with swallowing difficulties. D. Arrange for daily home care assistance: Planning for post-discharge care is necessary for long-term support, but immediate assessment and intervention for dysphagia take priority to ensure the client’s safety during the current hospitalization.