A nurse is feeding a patient who is experiencing dysphagia and requires thickened liquids to prevent from aspirating. Which nursing consideration would be a priority for the nurse to initiate while feeding this patient on a dysphagia diet with thickened liquids?

While feeding the patient assess for signs and symptoms of coughing or choking.

Feed the patient all solids first and then all liquids

Place the head of the bed at a 30 degree angle during feeding

Feed the patient quickly to avoid having the patient choke

Answer and Explanation

The Correct Answer is A

A.   Assessing for signs and symptoms of coughing or choking is crucial to prevent aspiration.
B.   Feeding solids first and then liquids is not a recommended approach for patients with dysphagia.
C. Placing the head of the bed at a 30-degree angle helps prevent aspiration during feeding.
D.   Feeding the patient quickly may increase the risk of choking and aspiration.

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Correct Answer is B

Explanation

A. Tomato soup is not typically allowed on a clear liquid diet as it contains solid particles.
B. Chicken or beef broth is a clear liquid and is suitable for a clear liquid diet.
C. Pudding is not a clear liquid; it is a semi-solid food.
D. Ice cream is not considered a clear liquid; it is a frozen, semi-solid food.

A. Do not allow the patient food choices and reinforce the importance of eating exactly what is delivered on the tray. B. Assess for pain after meals and only administer pain medication when patient is completely done eating. C. Inquire about patient food preferences and serve small frequent meals. D. Serve large portion meals 3 times a day around scheduled procedures.

Correct Answer is C

Explanation

A. Allowing food choices and accommodating preferences can help stimulate appetite and improve nutritional intake.
B. Assessing for pain is important, but withholding pain medication until after meals is not conducive to improving appetite.
C. Inquiring about food preferences and serving small, frequent meals can be more appealing and help stimulate appetite.
D. Serving large portion meals may be overwhelming for a patient with a reduced appetite and may not be effective in improving intake.

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A nurse is feeding a patient who is experiencing dysphagia and requires thickened liquids to prevent from aspirating. Which nursing consideration would be a priority for the nurse to initiate while feeding this patient on a dysphagia diet with thickened liquids?

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