Qualified Medication Aides (QMA) Practice Exam

If a resident has a G-tube, what position should they be in to enable brushing their teeth?

1. Supine position

2. Standing position

3. Semi or Fowler's position

4. Prone position

The correct answer is: Semi or Fowler's position

When a resident has a G-tube, placing them in a semi or Fowler's position is the most appropriate choice for brushing their teeth. This position involves sitting up at an angle, which helps ensure both comfort and safety during oral hygiene tasks. The semi or Fowler's position facilitates easier access to the mouth for effective brushing without risk of aspiration, especially for individuals who may have difficulty swallowing or managing secretions. It also promotes better drainage of saliva and reduces the likelihood of choking. While the other positions may have their uses in different contexts, they are not optimized for oral care. The supine position, which involves lying flat on the back, does not support the necessary head and neck alignment needed for effective tooth brushing and poses a risk for aspiration. The standing position may be beneficial for certain activities, but it may not provide the required stability and support for a resident with a G-tube while performing oral hygiene. The prone position, or lying face down, is not suitable for brushing teeth as it obstructs access to the mouth and can be uncomfortable or dangerous.