Practice Quiz

Certified Nursing Assistant Exam Prep

Category - Medical Assisting

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Hillary Stank (CMA) is about to bring the meal tray to the room of Mrs. Agnes Wilbur, a 69 year-old resident, who survived a stroke with some neurological deficits and moderate dysphagia. Which of the following statement is incorrect about a client with dysphagia?

  1. The client will find pureed or soft foods, such as custards, easier to swallow than water
  2. Fowler's or semi Fowler's position reduces the risk of aspiration during swallowing
  3. The client should always feed herself
  4. The medical assistant should perform oral hygiene before assisting with feeding
Explanation

Answer: C - A client with dysphagia should not always feed herself. Dysphagia means difficulty swallowing. The client is never left alone to eat because this can result to aspiration, wherein food enters the airway and obstructs the lungs. In clients with dysphagia, consistency in food thickness (dysphagia diet) and positioning the client in Fowler's or semi-Fowler's position are necessary to prevent aspiration. Prior to giving the meal, clients need to eliminate (to prevent interruptions) and be given oral care (to promote satiety of the food intake).

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