The client is assessed by the nurse as having a high risk for aspirati

The client is assessed by the nurse as having a high risk for aspiration. The nursing diagnosis identified for the client is feeding self-care deficit related to unilateral weakness.

An appropriate technique for the nurse to use when assisting the client with feeding is to:
1. Place food in the unaffected side of the mouth
2. Place the client in semi-Fowler’s position
3. Have the client use a straw
4. Use thinner liquids

ANSWER

ANS: 1
If the client has unilateral weakness, the nurse should place food in the stronger side of the mouth. The client should be positioned in an upright, seated position to prevent aspiration.Clients with unilateral weakness often have difficulty using a straw. Thickened liquids are often tolerat-ed better and will help prevent aspiration, because clients with impaired swallowing often choke more with thin liquids.