After meals, what should the nurse always check in a CVA client?

In the context of a cerebrovascular accident (CVA) or stroke, it's crucial to assess the mouth, specifically checking the cheeks for residual food after meals. Individuals who have experienced a stroke often have difficulties with swallowing (dysphagia) and may not be able to control food in their mouth effectively. This can lead to aspiration if food remains in the oral cavity and is accidentally inhaled into the lungs.

By checking the mouth for leftover food, the nurse can help ensure the patient's safety and prevent aspiration pneumonia, a common complication following a CVA. This assessment is an important part of post-meal care, aiming not only to support hygiene but also to monitor and manage the patient’s swallowing ability effectively.

The remaining options, while they address various aspects of care, do not directly relate to the immediate concerns following a meal in a patient who has had a CVA. Checking for head pain might indicate discomfort but does not address post-meal swallowing complications. Inspecting the hands for cleanliness and legs for swelling are important, but they are not as crucial as ensuring the mouth is clear of food, which directly relates to the risk of aspiration.