Which client would the nurse identify as high risk for developing aspiration pneumonia?
A patient with migraines
A patient with leukemia
A patient with asthma
A patient who had a stroke
The Correct Answer is D
D. Patients who have had a stroke are at high risk for aspiration pneumonia due to potential impairment of their swallowing mechanisms and decreased gag reflex, which can occur if the stroke affects the parts of the brain that control these functions. Dysphagia is a common complication of strokes and significantly increases the risk of aspiration.
A. Migraines can cause significant discomfort and sometimes nausea and vomiting, they do not typically impair swallowing or protective airway reflexes. Thus, this patient is not at high risk for aspiration pneumonia.
B. Leukemia itself does not directly increase the risk of aspiration pneumonia. However, if the patient has complications such as severe weakness, altered mental status, or treatment side effects (like mucositis or infections), their risk could be increased, but it is not the primary concern in most leukemia cases.
C. Asthma affects the airways and causes difficulty breathing but does not typically impair swallowing or increase the risk of aspiration. While severe asthma attacks can cause coughing and choking, the primary issue is airway inflammation, not the risk of inhaling food or liquid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The primary cause of peptic ulcer disease is infection with Helicobacter pylori (H. pylori) bacteria. H. pylori infection is associated with the majority of peptic ulcers, particularly those in the stomach. This bacterium weakens the protective mucous lining of the stomach and duodenum, allowing stomach acid to damage the underlying tissue and form ulcers.
A. Spicy foods can exacerbate symptoms in some individuals with peptic ulcer disease but they are not a primary cause of the condition. Spicy foods can irritate the lining of the stomach or duodenum, potentially worsening symptoms, but they do not directly cause ulcers.
B. Stress was once thought to be a major factor in the development of peptic ulcers, but research has shown that while stress may aggravate symptoms, it is not a primary cause of peptic ulcer disease.
C. Excessive caffeine intake was also previously believed to be a major cause of peptic ulcer disease, but this is not entirely accurate. While caffeine can stimulate gastric acid secretion, leading to increased acidity in the stomach, it is not a primary cause of peptic ulcers.
Correct Answer is A, B, C, D, E
Explanation
A. Shake the canister 3 to 5 seconds vigorously.
Before each use, it's important to shake the MDI to ensure proper mixing of the medication.
B. Place her lips firmly around the mouthpiece.
Creating a tight seal around the mouthpiece ensures that the medication is delivered directly into the airways.
C. Inhale slowly over 3 to 5 seconds while pushing down on the canister.
While pressing down on the canister, the client should inhale slowly to allow the medication to reach the lungs.
D. Hold her breath for 10 seconds.
After inhaling the medication, holding the breath for 10 seconds allows for better absorption of the medication into the lungs.
E. Exhale slowly through pursed lips.
After holding the breath, exhaling slowly through pursed lips helps to fully exhale and ensures that the medication remains in the airways.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.