Which sequence represents the correct order to teach a client the supraglottic method of swallowing?

• A. 1, 6, 2, 3, 5, 4
• B. 1, 2, 3, 4, 5, 6
• C. 6, 1, 2, 3, 4, 5
• D. 1, 5, 4, 3, 2, 6

Answer: (A)

Airway protection during swallowing with the supraglottic technique relies on a careful sequence that protects the airway before, during, and after the swallow. Start by taking a breath and holding it so the vocal folds close and the airway inlet is sealed. While holding the breath, perform the swallow to move the material past the airway with the airway protected. Immediately after the swallow, cough to clear any material from the airway. If needed, a second swallow can be used to ensure any remaining residue is cleared. Finally, release the hold and return to normal breathing. This order is important because it keeps the airway protected during the swallow and ensures any aspirated material is promptly expelled, reducing the risk of penetration or aspiration.