A nurse working in the emergency department (ED) is admitting a client.
The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.
COPD
Hypertension
Dermatitis
Smoking history
Type 2 diabetes mellitus
Hypothyroidism
Correct Answer : A,D,E
A. COPD: Clients with chronic obstructive pulmonary disease (COPD) are at increased risk for pneumonia due to compromised lung function, chronic inflammation, and decreased mucociliary clearance, making it easier for pathogens to infect the lungs.
B. Hypertension: While hypertension is a significant cardiovascular risk factor, it does not directly increase the risk of pneumonia. Therefore, it is not a relevant factor in this case.
C. Dermatitis: Dermatitis is a skin condition and does not affect lung function or immunity in a way that would increase the risk of pneumonia.
D. Smoking history: Smoking damages the respiratory epithelium and impairs the immune defenses of the lungs, making smokers more susceptible to respiratory infections such as pneumonia.
E. Type 2 diabetes mellitus: Diabetes compromises immune function and increases the risk of infections, including pneumonia, due to hyperglycemia impairing neutrophil function and other immune responses.
F. Hypothyroidism: While hypothyroidism may cause some general symptoms such as fatigue, it does not directly compromise respiratory function or immunity in a way that increases the risk of pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.
B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.
C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.
D. Obtaining a throat culture is contraindicated as it may trigger airway closure.
Correct Answer is B
Explanation
A. Violating others' rights is more characteristic of antisocial personality disorder.
B. Self-centered behavior is a hallmark of histrionic personality disorder. Clients often seek attention, exhibit excessive emotionality, and display dramatic, exaggerated behaviors.
C. Callousness is also seen in antisocial personality disorder rather than histrionic.
D. Suspiciousness is typical of paranoid personality disorder, not histrionic.
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