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    HESI Compass exit proctored exam

    The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

    Explanation & Rationale

    Choice A reason: Assisting the client to lie down may increase the risk of aspiration.Choice B reason: Supplemental liquid feedings may be considered but do not address the immediate issue.Choice C reason: Demonstrating the tucked-chin position can help reduce the risk of aspiration by ensuring the airway is protected during swallowing.Choice D reason: Assistive feeding devices may help but do not address the immediate issue of frequent coughing during meals.

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