How should you document and monitor a resident's intake during meals?

• A. Record exact percentages of intake.
• B. Record approximate intake (amount/status) and total fluids; report concerns to the nurse.
• C. Do not document intake.
• D. Record only fluids.

Answer: (B)

Tracking what a resident eats and drinks during meals is about monitoring nutrition and hydration and communicating what you observe. You should document approximate intake—how much of the meal was eaten (for example, most, half, a little) along with the total fluids consumed. This level of detail is practical for CNAs and provides the nurse with enough information to assess whether the resident is getting enough nutrition and fluids. If you notice concerns, such as very little intake, persistent refusals, or signs of dehydration, report them to the nurse right away so care can be adjusted. Exact percentages aren’t usually required and can be unreliable in routine observation, and documenting only fluids omits food intake, which is why the combined note of approximate intake plus total fluids is the best approach. Not documenting intake at all would leave the care team unable to track changes or respond appropriately.