A nurse is caring for a 75-year-old client with aspiration pneumonia. The nurse should recognize what age-related change can contribute to the development of aspiration pneumonia?

Degenerative joint changes

Decreased gastric secretions

Decreased sense of smell

Diminished cough reflex

Answer and Explanation

The Correct Answer is D

A: Degenerative joint changes can affect mobility and overall health but do not directly contribute to aspiration pneumonia.

B: Decreased gastric secretions can affect digestion but are not a primary factor in the development of aspiration pneumonia.

C: A decreased sense of smell can affect appetite and food intake but does not directly lead to aspiration pneumonia.

D: A diminished cough reflex is a significant age-related change that can contribute to the development of aspiration pneumonia. The cough reflex helps clear the airway of food, liquid, and other foreign materials. When this reflex is diminished, the risk of aspiration and subsequent pneumonia increases.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A: A drop in systolic blood pressure of 10 mm Hg (from 140 to 130) does not meet the criteria for orthostatic hypotension, which requires a drop of at least 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure within three minutes of standing.

B: This finding shows a drop in systolic blood pressure from 130 to 110 mm Hg, which is a 20 mm Hg decrease. This meets the criteria for orthostatic hypotension, indicating that the patient may have this condition.

C: A drop in systolic blood pressure of 6 mm Hg (from 126 to 120) does not meet the criteria for orthostatic hypotension. The decrease is not significant enough to confirm the condition.

D: An increase in blood pressure (from 130/64 to 140/70) does not indicate orthostatic hypotension. This finding suggests that the patient’s blood pressure increases upon standing, which is not consistent with orthostatic hypotension.

A. Check the dosage with a more experienced nurse. B. Consult a drug handbook and administer the normal dose. C. Contact the hospital pharmacist about the order. D. Contact the health care provider to clarify the illegible order.

Correct Answer is D

Explanation

A: Checking the dosage with a more experienced nurse is not the best action. While it may provide some guidance, it does not ensure the accuracy of the order.

B: Consulting a drug handbook and administering the normal dose is not appropriate. The nurse must verify the specific order for the patient rather than assuming a standard dose.

C: Contacting the hospital pharmacist about the order can be helpful, but the pharmacist may not be able to clarify the prescriber’s intent if the order is illegible.

D: Contacting the health care provider to clarify the illegible order is the best action. This ensures that the nurse administers the correct dose as intended by the prescriber, preventing medication errors.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a 75-year-old client with aspiration pneumonia. The nurse should recognize what age-related change can contribute to the development of aspiration pneumonia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?

Correct Answer is B

Explanation

A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?

Correct Answer is D

Explanation

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?

A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?

The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care provider’s order will the nurse question?

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client’s infection?

A nurse is assessing a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that she did not check the identification of the patient before administering medication. Which action should the nurse complete first?

The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?