Question

A diagnostic test has determined that the appropriate diet for the client with a left cerebrovascular accident (CVA) should include honey thickened liquids. Which of the following is the priority nursing diagnosis for this client?
1- Risk for Fluid Volume Deficit
2- Risk forElectrolyte Imbalance
3- Impaired Swallowing
4- Altered Nutrition:Less Than Body Requirements

Answer 1

Answer:

3-Impaired swallowing

Explanation:

• When the swallowing mechanism functions abnormally then such a condition is termed as impaired swallowing.
• Impaired swallowing provides complications as this leads to difficulty in consuming fluids and hence, can lead to dehydration.
• Therefore, an important practice in health care is to use thickened liquids as water itself has a very low viscosity because of which it flows from the mouth into the oropharynx which would lead to aspiration.
• Therefore, thickening fluids such as honey are mixed with fluids to slow down the movement of fluids and allow the respiratory pathway to close and thus the risk of aspiration reduces.