If a resident with dysphagia is prescribed thickened liquids, what should the CNA do?

• A. Provide thickened liquids and monitor swallowing.
• B. Provide regular liquids and ignore prescription.
• C. Only provide water.
• D. Refuse to assist.

Answer: (A)

When a resident has dysphagia, thickened liquids are used to slow the flow of liquid so the swallow can protect the airway and reduce the risk of aspiration. The CNA should give the liquids exactly as ordered, making sure the mixture is at the prescribed thickness and offering small sips while the resident is seated upright. Throughout and after drinking, watch closely for signs of trouble—coughing, throat clearing, changes in voice, or difficulty breathing—and stop feeding and alert the nurse if these occur. After meals, provide oral care and document intake. Only provide the prescribed thickness and never offer regular liquids or water when a prescription exists, and always follow the care plan rather than guessing or ignoring orders.