A nurse is caring for a client who has sustained a head injury and whose level of consciousness fluctuates. The provider prescribes a full liquid diet progressing to a pureed diet as tolerated. Before initiating feedings, it is essential that this client undergo which of the following?

Correct Answer: B

Rationale: Clients at high risk for aspiration, such as those with decreased consciousness, require a swallowing examination to ensure safe oral feeding. A chest x-ray is not mandatory unless chest trauma is suspected, a nasogastric tube is premature without swallowing assessment, and olfactory nerve testing assesses smell, not swallowing safety.

Correct Answer: C

Rationale: At least half of the grains consumed should be whole grains, according to MyPlate guidelines.

Correct Answer: B

Rationale: Thickened liquids are often required for those with swallowing difficulties, such as dysphagia, to prevent aspiration.

Correct Answer: A

Rationale: Using physical and verbal cues can help residents with special needs eat more independently.

Correct Answer: A

Rationale: Encouraging residents to drink frequently can help maintain hydration levels.