A client is postoperative for a partial laryngectomy following a diagnosed malignancy. The client is to start oral feedings. The nurse does the following interventions: (Select all that apply.)
a) Encourages the client to ingest sweet foods
b) Provides thick liquids
c) Obtains results of a swallow study
d) Orders a regular diet tray
e) Facilitates privacy while eating
Answer:
c) Obtains results of a swallow study
b) Provides thick liquids
Explanation:
When a client is allowed to eat following a partial laryngectomy, a swallow study may be obtained first to determine the client's risk of aspiration. The client is started with thick liquids because they are easy to swallow. The nurse stays with the client during initial feedings to ensure safe ingestion. Solid foods are introduced as tolerated. The nurse encourages the client to avoid sweet foods, which increase salivation and suppress appetite. pg.563
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