e Calculator QUESTION 49 The nurse performs a bedside swallow evaluation on a client diagnosed with an ischemic stroke. The client drools, swallows the food, and then coughs during the evaluation. Which action does the nurse take? (Select all that apply.) 1. Allow the client to finish the meal and repeat the evaluation in the morning. 2. Adjust the client’s head of bed from 90 degrees to 45 degrees. 3. Monitor breath sounds. 4. Request a speech therapy consultation. 5. Monitor for temperature measurement of 100.4°F (38°C) or greater.
