The nurse identifies the diagnosis Risk for aspiration,related to neuromuscular dysfunction for a client who experienced a cerebrovascular accident.Which intervention should the nurse identify as including a rationale?
A) Have suction equipment available at all times.
B) Clear secretions from oral/nasal passageways as needed.
C) Keep client in low-Fowler's position to prevent reflux.
D) Provide frequent assessment for presence of obstructive material in mouth and throat.
Correct Answer:
Verified
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