During lunch, a stroke client coughs and swallows slowly. What should the nurse do next?

In situations where a client has difficulty swallowing, especially following a stroke, ensuring their safety and addressing their needs becomes paramount. Requesting a dietary consult is a critical step because a dietitian can assess the client's swallowing capabilities and recommend appropriate food textures and consistencies. This tailored dietary guidance helps minimize the risk of aspiration and ensures that the client receives adequate nutrition in a safe manner.

Consulting with a dietitian allows for a comprehensive evaluation of the client's dietary needs, including modifications in food preparation. This is particularly important for stroke patients who may have specific dietary restrictions or require special diets to promote recovery and prevent complications. A dietary consult can also facilitate education for the client and caregivers about safe eating practices.

While encouraging the client to chew slowly and asking about food choices may appear supportive, they do not directly address the underlying safety concerns related to swallowing. An occupational therapy consult, while useful for assisting with daily activities, may not specifically address the immediate dietary needs that stem from the client's current swallowing difficulties following the stroke.