Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

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How should a patient with dysphagia and hemiplegia be positioned during meals?

  1. Leaning back comfortably

  2. Sitting upright at 90 degrees, leaning slightly forward

  3. Reclined with a pillow

  4. Flat on their back

The correct answer is: Sitting upright at 90 degrees, leaning slightly forward

For a patient with dysphagia and hemiplegia, the most suitable positioning during meals is sitting upright at 90 degrees, leaning slightly forward. This position helps facilitate safer swallowing by allowing gravity to assist in the movement of food down the esophagus. By sitting upright, the patient can better control their swallowing mechanism and reduce the risk of aspiration, which is a serious concern in individuals with dysphagia. Leaning slightly forward further assists in directing the food toward the throat, making swallowing more efficient and safe. This position also encourages alertness and engagement during mealtimes, which is beneficial for both the patient’s safety and overall dining experience. Proper positioning is crucial for patients with these challenges to minimize the risk of complications and promote nutrition intake effectively.