Final answer:
The first recommendation the dietitian should make for a patient with dysphagia after a cerebral vascular accident is to conduct a swallowing evaluation.
Step-by-step explanation:
The first recommendation the dietitian should make for a patient who recently experienced a cerebral vascular accident and has dysphagia is to conduct a swallowing evaluation. This evaluation would assess the patient's ability to swallow safely and determine the severity of their dysphagia. Based on the results of the evaluation, further recommendations can be made regarding the patient's diet and feeding methods.