40. If a nurse aide notices that a resident who suffers from dysphagia (difficulty swallowing) is coughing during meals, the nurse aide should first:
Answer: B
The nurse aide should first assist the resident in eating her meal.
When a nurse aide observes that a resident with dysphagia is coughing during meals, it is essential to provide immediate assistance to ensure the resident's safety and comfort while eating.
A) feed the resident and not report it to the nurse
This option is incorrect because it is critical to report any signs of distress, such as coughing during meals, to the nurse. Failing to report could lead to serious health risks for the resident if they are struggling with swallowing.
B) assist the resident in eating her meal
This option is correct as it emphasizes the nurse aide's role in providing immediate support. Assisting the resident can help prevent choking and ensure that they are eating safely, especially when they exhibit signs of difficulty.
C) offer to call a nurse aide from another unit to help
This option is not appropriate because it delays immediate action. The nurse aide should address the situation directly rather than waiting for another aide, as the resident's safety is paramount.
D) review the resident's care plan to determine accuracy
While reviewing the care plan is important, it should not be the first action taken in response to the resident's coughing. Immediate assistance is needed to ensure the resident's safety before addressing any documentation.
Conclusion
Assisting the resident in eating her meal directly addresses the immediate concern of coughing during meals, which may indicate a swallowing issue. Other options either delay necessary action or fail to prioritize the resident's safety, making them unsuitable in this context.