RN Nursing · Nutrition and Oral Hydration · Practice question
A nurse is providing teaching for a group of clients who have dysphagia. Which of the following interventions should the nurse include?
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"Mix foods of different textures into the same bite."
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"Assume a chin-up position."
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"Use a straw to sip liquids."
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✓
"Dry swallow in between bites."
Answer & explanation
Correct: "Dry swallow in between bites."
For clients with dysphagia, dry swallowing between bites helps clear residual food from the pharynx, reducing the risk of aspiration. Mixing foods of different textures is hazardous because it is harder to control mixed-consistency boluses. The chin-down (not chin-up) position is recommended as it narrows the airway entrance and reduces aspiration risk. Straws are contraindicated in dysphagia because they propel liquid too rapidly into the pharynx, increasing aspiration risk. These interventions are consistent with dysphagia management guidelines from speech-language pathology.
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