Difficulty: Medium
Average Score: 64%
Simulated
To ensure client safety, which assessment is most important for the nurse to make before advancing a client from liquid to solid food?
Correct answer
B
Rationale
The nurse needs to assess the client's chewing ability before advancing a client from liquid to solid food. It may be necessary to modify a client's diet to a soft or mechanical chopped diet if the client has difficulty chewing because of the risk of aspiration. Bowel sounds should be present before introducing any diet, including liquids. Appetite will affect the amount of food eaten, but not the type of diet prescribed. Food preferences should be ascertained on admission assessment.