What should a nurse do after observing a client cough after each bite while being fed?

When a nurse observes a client coughing after each bite while being fed, it is an indication that the client may have difficulties with swallowing, known as dysphagia. This could pose a significant risk for aspiration, where food or liquids enter the airway, potentially leading to choking or aspiration pneumonia.

In this scenario, referring to a speech therapist for an evaluation is crucial because speech therapists are trained to assess swallowing capabilities and can identify the specific nature of the swallowing difficulty. They can recommend appropriate interventions, such as dietary modifications or specific feeding techniques that enhance safety during eating. This step is vital to ensure that the client receives nutrition in a manner that minimizes risk and promotes their overall safety and well-being.

Continuing to feed the client as normal would disregard the observed signs of distress and could lead to more serious complications. Increasing the size of the bites could also exacerbate the problem by making swallowing more difficult. Requesting physician orders before further action without first assessing the client’s needs may delay necessary interventions and could compromise safety. Therefore, involving a speech therapist is the best course of action for ensuring proper care and management of the client’s swallowing difficulties.