A 76-year-old client with a recent right-sided stroke is admitted to the rehabilitation unit. They have difficulty swallowing liquids and are at risk for aspiration. The client also demonstrates weakness in their right hand, interfering with their ability to eat independently. Which action by the nurse demonstrates effective collaboration with the interdisciplinary care team?
Provide the client with thickened liquids and demonstrate basic swallowing techniques during meals.
Instruct the client to use their non-dominant hand for feeding while monitoring for aspiration symptoms.
Request a referral for a speech therapist to evaluate swallowing and collaborate with occupational therapy to explore adaptive feeding devices.
Consult the dietitian to develop a high-calorie soft food meal plan to prevent aspiration.
The correct answer focuses on utilizing the expertise of multidisciplinary team members to address specific client needs comprehensively. Referring the client to a speech therapist ensures a thorough swallowing evaluation, which is critical to reducing aspiration risk and tailoring a diet plan. Occupational therapy supports restoring the client’s self-feeding ability and choice of adaptive equipment. While other options may seem helpful, they do not directly address or resolve the client’s primary issues: swallowing safely and regaining independence during meals. Involving specialists promotes safety, quality care, and functional recovery for the client.
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