A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)

A client who has lactose intolerance

A client who has had a cerebrovascular accident

A client who has had prolonged diarrhea

A client who has had trauma to the head and neck

A client who is 4 hours postoperative following a leg amputation with general anesthesia