Restorative CareQuestion 124 of 200
A resident recovering from a left CVA has right-sided hemiplegia and mild dysphagia. Which CNA action is MOST appropriate at mealtime?
a.Feed the resident quickly while lying flat to save time
b.Mix all foods together to make swallowing easier
c.Place food on the affected (right) side of the mouth
d.Position upright at 90 degrees, place food on the unaffected (left) side, allow time, and observe for choking
Explanation
Dysphagia care requires upright positioning (90 degrees), small bites, food placed on the UNAFFECTED side (the resident has sensation and motor control there), chin-tuck if ordered, and observation for coughing, pocketing, or wet voice. Feeding lying flat (a) causes aspiration. Mixing foods (b) is unappetizing and does not improve swallow safety. Placing food on the affected side (c) causes pocketing and aspiration. 42 CFR §483.25 and Title 22 CCR §72315 require staff to follow the care plan and prevent avoidable harm such as aspiration pneumonia.
Law Reference: 42 CFR §483.25(b); Title 22 CCR §72315Practice all 200 questions free — no signup required.
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