Final answer:
Performing a vision field assessment is the best action for a client with a cerebrovascular accident who has difficulty eating, to determine if visual field deficits are present. If difficulties persist, the nurse may need to assist with feeding or adjust the position of the tray and plate. Therefore the correct option is b) Perform a vision field assessment.
Step-by-step explanation:
The best nursing action for a client with a cerebrovascular accident (CVA) who is experiencing difficulty eating is to perform a vision field assessment. This is because visual field deficits, such as hemianopia, are common after a stroke and can result in the client not being able to see food on one side of the plate. However, if after the vision field assessment the difficulty persists, the nurse may need to assist the client with feeding or reposition the tray and plate to accommodate any visual or motor impairments.
It is important to remember that while some difficulties with eating can be normal after a CVA, each patient's needs should be assessed individually. Recovery from a stroke is strongly influenced by how quickly and appropriately interventions occur. Recognizing the early signs of a stroke using the FAST mnemonic and pursuing immediate medical attention can significantly affect the recovery outcome.
During a neurological exam, healthcare professionals can assess functions related to the oral cavity and cranial nerves, which offers insights into the patient's ability to eat and swallow safely. This is crucial for developing an effective care plan post-stroke.