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What factor should be monitored for a patient on a pureed diet after a stroke?

  1. Caloric intake

  2. Level of consciousness

  3. Fluid consistency

  4. Ability to tolerate mixed textures

The correct answer is: Caloric intake

Monitoring caloric intake for a patient on a pureed diet after a stroke is vital because this population is at a higher risk of both malnutrition and unintended weight loss due to difficulties in swallowing and reduced appetite. A pureed diet is often implemented to ensure that meals are safe and easier to consume, but it is essential to ensure that these meals provide sufficient calories to meet the patient’s nutritional needs. Patients recovering from a stroke may have increased energy requirements for healing and rehabilitation. Ensuring that caloric intake is monitored helps healthcare professionals to adjust the diet accordingly, providing more nutrient-dense pureed foods or increasing meal frequency if necessary to prevent deficiencies and promote recovery. While factors such as the level of consciousness, fluid consistency, and the ability to tolerate mixed textures are relevant for patient safety and comfort, caloric intake directly impacts the patient's overall nutritional status and recovery trajectory. Ensuring that a patient receives adequate calories can significantly influence their health outcomes post-stroke.