Final answer:
To assess a malnourished stroke client, a nurse should evaluate physical abilities for self-feeding, emotional barriers to eating, potential gastrointestinal malabsorption issues, and proper head positioning for safe swallowing.
Step-by-step explanation:
The nurse caring for a client who had a stroke and exhibits signs of malnutrition would need to assess several factors that could impact the client's nutritional status. These factors include:
- Ability to throw the head back to propel the food: This assesses the physical capability for self-feeding, which may be impaired post-stroke.
- Embarrassment and frustration over trouble eating: Emotional and psychological barriers can affect the client's willingness to eat or try eating.
- Inability of the bowel to absorb nutrients: Malnutrition can result from malabsorption syndromes or damage to the gastrointestinal system.
- Positioning the head with a sideways' tilt: Proper positioning is crucial for safe swallowing and prevention of aspiration.
Evaluation of these aspects can lead to a comprehensive care plan that addresses both the physical and emotional needs of the client, improving their overall nutritional status and recovery.