What to Do When a Resident Coughs While Drinking

What should a nurse aide do if a resident coughs frequently while drinking?

• A. Continue feeding while monitoring the resident
• B. Stop feeding and ask a nurse to check the resident
• C. Give the resident a smaller sip of fluid
• D. Change the position of the resident

Answer: (B)

When a resident frequently coughs while drinking, it indicates a potential difficulty with swallowing, which could lead to choking or aspiration if not addressed promptly. Stopping the feeding process and notifying a nurse is essential because this action ensures that a trained professional can assess the situation accurately. The nurse may evaluate the resident's swallowing ability and determine the most appropriate interventions to ensure their safety while eating or drinking. Monitoring the resident while continuing to feed them does not prioritize their safety when there is a clear sign of distress. Offering smaller sips can be beneficial in other contexts, but it does not address the underlying concern of frequent coughing, which demands a more cautious approach. Changing the resident's position may help in some cases but should be done under the guidance of nursing staff, especially when a swallowing issue is suspected. Overall, prioritizing the resident's safety and seeking further evaluation from a nurse is a critical step in managing potential swallowing difficulties.

When you're a nurse aide, moments can arise that truly test your instincts and training. One such moment is when a resident coughs frequently while drinking. You know what? This isn’t just a simple cough; it can signal something much more serious—like potential difficulties with swallowing.

So, what’s the best route to take here? Well, the gold standard response is to stop feeding and ask a nurse to check the resident. This might sound obvious to some, but when you’re in the moment, it’s easy to forget the fundamental rules of safety. By stopping the feeding process, you’re prioritizing the resident’s well-being, and let’s face it, their safety should always come first!

You might wonder, why shouldn’t I just keep feeding while keeping an eye on them? Here’s the thing: that could lead to choking or even aspiration, which are not just concerns—they’re real dangers. While you’d love to help the resident enjoy their meal, if they’re coughing, it’s a clear sign of distress that demands immediate attention.

Now, you might also think offering smaller sips could help. That might work in some contexts, but it doesn’t tackle the root issue of frequent coughing. This is a time for caution, not experimentation. Your role as a nurse aide is to ensure that any underlying problems are addressed rather than wishfully thinking smaller sips will solve everything.

And let’s say you consider changing the resident's position. It could help in some scenarios, but bear in mind that it should always be done under the guidance of nursing staff—especially when swallowing issues are suspected. The last thing you want is to inadvertently make matters worse while trying to help.

At the core of it all, it comes down to communication and teamwork. Notify a nurse as soon as you notice the coughing incident. They’ll assess the situation and determine the smartest interventions moving forward. Not only does this approach reinforce the standard of care, but it also protects the resident’s safety effectively.

Managing potential swallowing difficulties isn’t just about the act of eating or drinking; it also encompasses being vigilant and aware. By prioritizing safety, you not only demonstrate your professionalism but also nurture the trust that residents place in you every day.

So the next time you encounter a coughing resident, remember these key steps and act decisively. Your prompt response can make all the difference in ensuring their comfort and safety while under your care.