CNA Certification (Written Exam)Activities of Daily LivingMedium
A CNA is assisting a resident who recently had a stroke and has difficulty swallowing (dysphagia). Which action is MOST appropriate to ensure the resident's safety during feeding?
- AEncourage talking during meals to stimulate oral muscles.
- BEnsure the resident is in an upright position with the head slightly tilted forward.
- CAllow the resident to eat lying flat in bed for comfort.
- DOffer large bites of food to encourage quicker intake.
Show answer & explanationAnswer & explanation
Correct answer: B. Ensure the resident is in an upright position with the head slightly tilted forward.
For residents with dysphagia, an upright position with the head slightly tilted forward helps to close off the airway and facilitate safer swallowing, significantly reducing the risk of aspiration.
Why the other options are wrong
- A. Talking during meals can open the airway and increase the risk of aspiration for someone with swallowing difficulties.
- C. Eating while lying flat is extremely dangerous for residents with dysphagia, as it greatly increases the risk of aspiration.
- D. Large bites increase the risk of choking and aspiration in dysphagia.
Dysphagia Feeding Safety
Measures taken to prevent choking and aspiration when feeding individuals with difficulty swallowing.
- Maintain upright position during and after meals.
- Offer small bites and allow ample time to chew/swallow.
- Encourage head slightly forward to protect airway.
Memory trick: Upright and Forward, Aspiration Avoided.