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: An oxygen saturation range of 80-100% is incorrect. Saturation levels below 90% are considered low and may indicate hypoxemia, requiring medical attention.
B: An oxygen saturation range of 93-100% is generally acceptable, but the ideal range is slightly higher to ensure adequate oxygenation.
C: An oxygen saturation range of 90-100% includes levels that are borderline low. While 90% is often used as a threshold for concern, the optimal range is higher.
D: An oxygen saturation range of 95-100% is considered normal and indicates adequate oxygenation of the blood. This range ensures that tissues receive sufficient oxygen to function properly.
Correct Answer is D
Explanation
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.
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