A female patient who is recovering from a stroke has begun eating a minced and pureed diet after passing the speech pathologist's swallowing assessment.
This morning, the nurse set up the patient with her breakfast tray and later noticed that the woman was swallowing her food well but dribbling small amounts of food out of affected side of her mouth. How should the nurse follow up this observation?
A) Provide oral suctioning after each bite that the patient swallows.
B) Make the patient NPO and encourage the care provider to consider enteral nutrition.
C) Remove the patient's tray because of the risk of aspiration.
D) Cue the patient to the fact that she is dribbling food while commending her for eating.
Question 2
A patient has been undergoing rehabilitation for the past 3 weeks following a hemorrhagic stroke.
The nurse has observed that the patient is motivated to perform his activities of daily living independently, but rarely attempts tasks with his affected arm. How should the nurse address this observation with the patient?
A) Even though it requires a huge effort, using your affected arm will help you build its strength.
B) I've noticed that you're being very conscientious about protecting your affected arm, which is very important.
C) If you don't push through the challenge of using your affected arm again it might never recover.
D) You should be doing a lot more with your affected arm and a lot less with your strong arm.
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