Basic Nursing SkillsQuestion 91 of 200
A resident with dysphagia and thickened-liquid orders should be fed with:
a.Resident lying flat with chin up
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.Through a straw to control speed
d.While walking around the room
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 (c) can cause uncontrolled bolus; eating while walking (d) is unsafe. Aspiration pneumonia is a leading cause of death in dysphagia.
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