What is the priority nursing action for a client who had a stroke and exhibits facial drooping?

In the context of a client who has had a stroke and presents with facial drooping, prioritizing the client's safety and ability to swallow is of utmost importance. Placing the client on NPO (nothing by mouth) status is a critical nursing action because facial drooping may indicate weakness or paralysis of the facial muscles, which can compromise the client’s ability to swallow safely. If the client were to consume food or liquids without adequate swallowing capability, there is a significant risk of aspiration, which could lead to serious complications such as aspiration pneumonia.

The decision to keep the client NPO allows for further assessments to be made regarding swallowing function. This is crucial, as a swallowing evaluation by a speech therapist may be required before it is safe for the client to start oral intake again. Ensuring that the client is NPO helps protect their airway and manage potential complications associated with swallowing difficulties after a stroke.