Stroke and swallowing
Question
Complete the diagram by choosing the condition the client is most likely experiencing, 2 actions to take and 2 parameters to monitor.
Actions to takeSelect 2
Condition most likely experiencingSelect 1
Parameters to monitorSelect 2
Answer
Actions to take: Keep oral food and fluids on hold; Arrange speech therapy evaluation · Condition most likely experiencing: Dysphagia · Parameters to monitor: Breathing status; Ability to swallow
Rationale
The failed screen points to impaired swallowing after the stroke. Until a speech evaluation, oral intake is withheld to reduce the chance of material entering the airway. Follow breathing and swallowing as care continues.
Sources
Sources marked “Adapted from” are licensed under CC BY 4.0. We changed the material: its facts are rewritten into an original question, answer options and rationale. The original authors and publishers do not endorse SwipeExam.
- Adapted from Open RN Nursing Skills, 2nd edition: Chapter 7 Head and Neck Assessment
- Adapted from Open RN Health Alterations: Chapter 9 Nervous System Alterations
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