Final answer:
To ensure the safety and proper nutrition of a client with advanced Parkinson's disease and dysphagia, the nurse should provide thickened liquids and soft, easy-to-swallow foods. The use of thin liquids or straws should be avoided, and caution should be taken when administering medications with water.
Step-by-step explanation:
Care for a Client with Parkinson's Disease and Dysphagia
When caring for a client who has advanced Parkinson's disease and dysphagia, a nurse should consider the physical and neurological challenges that can affect the patient's ability to swallow. The appropriate action to take would be to provide thickened liquids and soft, easy-to-swallow foods to ensure safety and adequate nutrition. Thin liquids should be avoided as they can increase the risk of aspiration, and using a straw can exacerbate this risk due to potential difficulties in controlling the flow of liquid. Offering a variety of textures in the diet isn't recommended due to the swallowing difficulties associated with dysphagia. Administering medications with a large glass of water may also pose a risk for aspiration and should be done cautiously, possibly with alterations such as crushing tablets or providing in a different form if safe and appropriate for the medication. Continual assessment and monitoring of the patient's ability to swallow and consume liquids and food safely are paramount.