Nutrition · practice question

A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to dysphagia and aspiration risk. Assessment data include the client coughs when drinking thin liquids and has wet vocal quality after swallowing. Which nursing action is the priority to keep the client safe?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nutrition

Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Delegate the initial assessment and clinical judgment to unlicensed assistive personnel.Leave the client alone to promote independence while finishing charting.Apply the first intervention in the policy manual without a current assessment.

Answer and explanation

Correct answer

A. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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