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Nutrition & Hydration

A client with dysphagia would have the most difficulty swallowing

From Activities of Daily Living CNA practice test

Answer choices

  1. A creamed corn
  2. B water
  3. C milkshake
  4. D pudding

Correct answer: B. water

Clinical Rationale

Water poses the greatest challenge for a client with dysphagia.

Clients with dysphagia struggle with swallowing due to difficulty managing the consistency and texture of foods and liquids. Among the options provided, water is the thinnest and least cohesive, making it the hardest to swallow without risking aspiration.

A) Creamed corn

Creamed corn has a thicker texture that allows for easier manipulation in the mouth and a more cohesive swallow. The consistency of creamed corn can help prevent choking, making it a safer option for individuals with dysphagia compared to thin liquids.

B) Water

Water is a thin liquid that offers minimal viscosity, which can lead to difficulties during the swallowing process for those with dysphagia. Its lack of thickness increases the risk of aspiration, as the liquid can easily flow into the airways, making it the most challenging choice for clients with swallowing difficulties.

C) Milkshake

Milkshakes have a thicker consistency than water but are still relatively smooth and easy to swallow. The creamy texture aids in swallowing, providing more control and reducing the risk of aspiration compared to thinner liquids like water.

D) Pudding

Pudding has a soft and thick consistency that is generally easier to swallow for individuals with dysphagia. Its texture allows for better control and minimizes the risk of aspiration, making it a safer choice compared to thin liquids.

Conclusion

In dysphagia management, the consistency of food and liquids plays a critical role in safety and ease of swallowing. Water, being a thin liquid, presents the greatest risk and difficulty for clients with dysphagia, while thicker options like creamed corn, milkshakes, and pudding provide safer alternatives. Understanding these differences is essential for effective dietary planning and support for individuals facing swallowing challenges.

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