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Nutrition & Hydration

A resident with a tube feeding should always have their head elevated, which reduces the risk of:

From CNA Exam Texas Practice Test

Answer choices

  1. A intubation
  2. B pressure ulcers
  3. C aspiration
  4. D obstructed airway

Correct answer: C. aspiration

Clinical Rationale

Elevating the head of a resident with tube feeding reduces the risk of aspiration.

Maintaining an elevated head position during tube feeding helps prevent the contents of the stomach from flowing back into the esophagus and potentially entering the lungs, which can lead to aspiration pneumonia. This practice is crucial for the safety and well-being of individuals receiving nutrition through a tube.

A) Intubation

Intubation refers to the placement of a tube into the airway to facilitate breathing, typically in emergency situations or during anesthesia. While proper head positioning is important for various respiratory interventions, it does not directly relate to the risk of intubation in tube-fed patients. Aspiration, on the other hand, is the primary concern that elevating the head addresses.

B) Pressure ulcers

Elevating the head may help reduce pressure on certain areas of the body, but it is not the primary measure against pressure ulcers, which are primarily prevented through regular repositioning and skin care. The focus on head elevation during tube feeding is specifically to mitigate the risk of aspiration, not pressure ulcers, making this choice incorrect.

C) Aspiration

Aspiration occurs when food, liquid, or other substances enter the airway instead of the esophagus. By keeping the head elevated during tube feeding, the risk of these substances entering the lungs is significantly reduced, making this the correct answer.

D) Obstructed airway

An obstructed airway is unrelated to the position of the head during tube feeding. While head elevation can help maintain an open airway in some contexts, it does not specifically address the risk of obstruction. The primary concern when feeding via a tube is to prevent aspiration, which is effectively managed by head elevation.

Conclusion

Elevating the head of a resident during tube feeding is a critical practice that effectively reduces the risk of aspiration. This measure ensures that the feeding remains in the gastrointestinal tract and does not enter the lungs, thereby preventing complications such as aspiration pneumonia. Other options, while relevant to general care, do not directly address the aspiration risk associated with tube feeding.

Select an answer to practice

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