CNA Certification (Written Exam)Activities of Daily LivingMedium
A resident with dysphagia has been prescribed thickened liquids. Which of the following observations by the CNA indicates the resident is safely consuming the thickened liquid?
- AThe resident's voice sounds gurgly after drinking.
- BThe resident coughs frequently after each sip.
- CThe resident swallows the liquid easily without coughing or choking.
- DThe resident expresses difficulty getting the liquid down.
Show answer & explanationAnswer & explanation
Correct answer: C. The resident swallows the liquid easily without coughing or choking.
Swallowing thickened liquids easily without coughing or choking is a direct indicator that the liquid is being safely managed and aspirated, which is the goal of thickening liquids for residents with dysphagia.
Why the other options are wrong
- A. A gurgly or wet-sounding voice after drinking suggests liquid may have entered the airway, indicating aspiration.
- B. Frequent coughing after sips indicates aspiration or difficulty swallowing, which is unsafe.
- D. Difficulty getting the liquid down could indicate that the thickness is incorrect or the resident is still struggling, which is not a sign of safe consumption.
Dysphagia - Safe Thickened Liquids
Safe consumption of thickened liquids for dysphagia is indicated by the absence of coughing, choking, or other signs of aspiration, ensuring the liquid passes smoothly into the esophagus.
- Thickened liquids are prescribed to slow down fluid flow.
- Observe for signs of aspiration: coughing, choking, wet voice.
- Report any difficulties immediately to the nurse.
- Ensure correct consistency of thickened liquid.
Memory trick: Smooth Swallows, No Troubles, True Success!