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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Hypotension is not an early sign of hypoxemia. It can occur in severe cases but is not typically an initial indicator.
B: Nausea is not a common sign of hypoxemia. It may occur due to other factors but is not directly related to low oxygen levels.
C: Dysphagia, or difficulty swallowing, is not a sign of hypoxemia. It is related to swallowing disorders rather than oxygen levels.
D: Confusion is an early sign of hypoxemia. Low oxygen levels can affect brain function, leading to confusion and other cognitive changes.
Correct Answer is D
Explanation
A: Hypoglycemia is not a common adverse effect of Furosemide. This diuretic primarily affects fluid and electrolyte balance rather than blood glucose levels.
B: Hypertension is not an adverse effect of Furosemide. In fact, Furosemide is often used to treat hypertension by reducing fluid volume and lowering blood pressure.
C: Hypervolemia, or fluid overload, is not an adverse effect of Furosemide. This medication is a diuretic, which means it helps remove excess fluid from the body, thereby reducing hypervolemia.
D: Hypokalemia, or low potassium levels, is a common adverse effect of Furosemide. This diuretic can cause the body to lose potassium through urine, leading to potentially dangerous low levels of this essential electrolyte.
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