Which of the following actions should a nurse take to assess a client who had a stroke for complications secondary to inadequate swallowing?

Correct Answer: A

Rationale: Silent aspirations are a common complication of swallowing impairment. Placing a tongue depressor on the posterior tongue tests the gag reflex but does not demonstrate swallowing. Examining the uvula and soft palate does not assess swallowing ability. Palpating the throat assesses pharyngeal movement but is less direct than auscultating for aspiration.

Correct Answer: A

Rationale: Proteins are crucial for building and repairing tissues in the body.

Correct Answer: C

Rationale: Soft or mechanical soft diets are designed to include foods that are easier to chew and swallow.

Correct Answer: C

Rationale: Assisting residents with toileting before meals helps ensure comfort and readiness for dining.

Correct Answer: A

Rationale: Fluid balance means that fluid intake and output are equal, maintaining homeostasis.