What should a nurse instruct a client with dysphagia to do to prevent aspiration during feeding?

• A. Instruct the client to eat quickly
• B. Have the client tilt their head back while swallowing
• C. Instruct the client to place their chin downward when swallowing
• D. Encourage the client to talk while eating

Answer: (C)

A client with dysphagia faces challenges when swallowing, and the risk of aspiration—where food or liquid enters the airway—can be significant. To mitigate this risk, instructing the client to place their chin downward while swallowing is effective. This position helps to close off the airway, making it less likely for food or liquids to enter the trachea.

When the chin is lowered, it promotes a more secure swallow, allowing the epiglottis to cover the trachea more effectively and direct the food toward the esophagus. This adjustment assists in maintaining a clearer airway and reduces the likelihood of aspiration, which can lead to serious complications such as pneumonia.

In contrast, the other suggestions would not effectively prevent aspiration. Eating quickly may lead to improper swallowing techniques and increases the chance of aspiration. Tilting the head back can open the airway instead of protecting it, which is counterproductive. Encouraging a client to talk while eating can divert their focus from swallowing, which is crucial for safe eating and can also lead to choking. Thus, the best practice is for the client to tuck their chin down when swallowing to enhance safety.