During meals, what should you do to ensure swallowing safety and accurate documentation?

• A. Feed the resident as quickly as possible to finish on time.
• B. Ignore possible swallowing safety cues.
• C. Observe swallowing safety, provide assistance as needed, and document intake accurately for the nurse.
• D. Force fluids regardless of safety.

Answer: (C)

The key is supporting safe swallowing during meals while keeping accurate records for the nurse. A CNA should watch for signs that swallowing may be unsafe—things like coughing, throat clearing, choking, pocketing food, drooling, or a voice change after swallowing—and respond by providing appropriate assistance. This includes keeping the resident seated upright, offering small bites, allowing adequate time to chew and swallow, and following the care plan for any recommended strategies (such as chin-tuck or thickened liquids if ordered). Do not rush, and never force fluids or food if the resident shows safety cues or is at risk of choking.

Accurate documentation is essential. Note how much the resident ate or declined, what assistance was given, and any swallowing difficulties or symptoms observed. This information helps the nurse assess nutrition and hydration needs, track swallowing safety over time, and adjust care plans to prevent aspiration or other complications.