Basic Nursing SkillsQuestion 91 of 200

A resident with dysphagia and thickened-liquid orders should be fed with:

a.Resident lying flat with the chin lifted, thin liquids offered between bites
b.Resident sitting upright at 90°, chin tucked slightly, small bites, single texture per order (e.g., nectar/honey-thick), allow time, no rushing, remain upright 30 minutes after meal
c.Resident walking around the room between bites so that the meal is not rushed
d.Resident sitting upright and drinking the thickened liquids through a wide straw

Explanation

Aspiration precautions: upright at 90° (high Fowler's), chin tuck reduces aspiration risk, small bites and slow pace, follow ordered thickness (nectar/honey/pudding), avoid mixing textures, alternate solids/liquids if ordered, keep upright at least 30 minutes after meals. Lying flat with chin up (a) opens the airway; straws (d) can cause uncontrolled bolus; eating while walking (c) is unsafe. Aspiration pneumonia is a leading cause of death in dysphagia.

Law Reference: Fundamentals; dysphagia/aspiration

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