The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?

Choice A reason: Steak, a solid, requires chewing and swallowing coordination, risking aspiration in dysphagia post-CVA due to impaired pharyngeal muscle control.

Choice B reason: Iced tea, a thin liquid, flows quickly, increasing aspiration risk in CVA patients with weakened swallow reflexes, unable to manage thin consistencies safely.

Choice C reason: Grapes, small and round, pose choking and aspiration hazards in dysphagia, as they require intact bolus control, often compromised post-stroke.

Choice D reason: Mashed potatoes, soft and thick, are easier to swallow, reducing aspiration risk in dysphagia post-CVA, aligning with thickened consistency recommendations.

Choice A reason: Salmeterol, a long-acting bronchodilator, opens airways in asthma or COPD but doesn’t dilate coronary arteries or improve cardiac ischemia, targeting lungs instead.

Choice B reason: Aspirin prevents clotting by inhibiting platelet aggregation, reducing ischemia risk, but it doesn’t directly dilate coronary arteries or acutely redirect blood flow.

Choice C reason: Digoxin increases cardiac contractility in heart failure, improving output, but it doesn’t dilate coronary vessels or specifically oxygenate ischemic myocardium.

Choice D reason: Nitroglycerin, a vasodilator, relaxes coronary arteries, increasing blood flow to ischemic areas, relieving angina by enhancing oxygen delivery to the heart muscle.