Final answer:
The manifestation of dysphagia a nurse should look for after a client has a stroke is a change in the client's voice after eating. This could indicate difficulty with swallowing and the risk of aspiration.
Step-by-step explanation:
A nurse assessing a client for dysphagia following a stroke must be vigilant for various signs and symptoms indicating difficulty with swallowing. Dysphagia can be a manifestation of neurological damage resulting from a stroke. One key symptom of dysphagia to be identified by a nurse is a change in the client's voice after eating. This could indicate that food or liquids are entering the airway, which can result in aspiration pneumonia, a common and serious complication of dysphagia.
A sudden onset of neurological symptoms such as difficulty in controlling facial muscles, an inability to raise one arm, altered speech, or slurred words can be identified using the FAST mnemonic. These are critical indicators that it is time to seek medical help as they can denote a stroke. A nurse should use the neurological exam to distinguish these acute symptoms from those of chronic conditions. Particular attention should be given to the loss of language or speech functions, as they may suggest complications like dysphagia.
Therefore, among the options provided, the finding that should be identified as a manifestation of dysphagia is the client's voice changing after eating. This could signify that the stroke has impacted the nerves or muscles involved in the swallowing process, highlighting the necessity for further evaluation and management of dysphagia.