If a resident shows signs of coughing during meals, what is the recommended immediate action?

• A. Continue feeding.
• B. Offer more fluids.
• C. Stop feeding, assist with upright positioning, and report to nurse.
• D. Scold the resident.

Answer: (C)

Coughing during a meal signals a potential airway problem or aspiration risk. The safest immediate action is to stop feeding, help the resident sit upright to use gravity to clear the airway, and notify the nurse for further assessment. This sequence protects the airway and sets up appropriate follow-up care, such as swallowing safety measures or a diet modification if needed. Continuing to feed could push material into the lungs, offering more fluids during an active coughing episode can worsen choking, and scolding the resident does not address the safety issue or protect the airway. If the resident cannot clear the airway or shows signs of severe distress, seek emergency help right away.