A 78-year-old client with advanced Parkinson's disease is admitted to a long-term care facility. The nurse notes the client is exhibiting dysphagia, frequently chokes during meals, and has a weak, ineffective cough. Which nursing action is the priority to ensure the client's safety during meal times?

Question: A 78-year-old client with advanced Parkinson's disease is admitted to a long-term care facility. The nurse notes the client is exhibiting dysphagia, frequently chokes during meals, and has a weak, ineffective cough. Which nursing action is the priority to ensure the client's safety during meal times?

Answer options:

• Encourage the client to drink thin liquids to promote hydration.
• Provide a regular diet, cut into small pieces, and monitor intake. ✅ Request a swallowing evaluation by a speech-language pathologist.
• Position the client in a semi-Fowler's position during meals.

Correct answer: Request a swallowing evaluation by a speech-language pathologist.

Explanation: Given the client's signs of dysphagia and ineffective cough, the priority is to obtain a professional assessment to determine the safest and most appropriate feeding strategy. A swallowing evaluation by a speech-language pathologist can identify the specific nature of the dysphagia and recommend appropriate food consistencies and techniques to prevent aspiration.