The nurse has completed the assessment and is reviewing the

Which of the following conclusions is most likely to have come from a clinical exam as opposed to an instrumental examination? A. Based on all findings, it is clear that when given thin liquid boluses this patient is consistently penetrating his airway to a level below the vocal folds and is not clearing the aspirated material. B. The examination demonstrated that with thickened liquid and solid boluses delayed initiation of pharyngeal contractions, pyriform sinus stasis, and incomplete opening of the UES characterize the pharyngeal phase of swallowing. C. Findings from this examination are consistent with spastic musculature contributing to incoordination in oral and pharyngeal contractions and leading to a high risk for airway penetration, especially when swallowing thin liquids. D. On this examination it was evident that the patient is unable to maintain oral control of thin liquid boluses and on all swallow attempts there was premature spillage of the bolus into the pharyngeal cavity to the level of the pyriform sinuses before initiation of the pharyngeal stage of swallowing.

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