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Which nursing diagnosis is most appropriate for a patient with difficulty swallowing?

  1. Imbalanced nutrition: less than body requirements

  2. Risk for impaired skin integrity

  3. Ineffective airway clearance

  4. Knowledge deficit

The correct answer is: Imbalanced nutrition: less than body requirements

When considering a patient with difficulty swallowing, the most appropriate nursing diagnosis is Imbalanced nutrition: less than body requirements. This diagnosis recognizes that difficulty swallowing, or dysphagia, can significantly impact a patient's ability to consume an adequate amount of food and fluid, leading to insufficient nutritional intake. The inability to swallow effectively may result in the patient not being able to maintain the necessary caloric and nutrient intake essential for health, growth, and recovery. It is important to address nutritional needs in patients who have swallowing difficulties, as this condition may lead to malnutrition and other complications such as weight loss, dehydration, and a weakened immune system. This diagnosis should prompt nursing interventions focused on assessing the patient's dietary intake, providing interventions to assist with eating, and collaborating with a dietitian to ensure nutritional needs are met through appropriate means. Understanding this diagnosis allows healthcare providers to prioritize interventions that will help manage and improve the patient’s nutritional status, ultimately enhancing their overall health outcomes.