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.

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Correct Answer is A

Explanation

A: Posting a “No Smoking” sign in the home is crucial for safety when using home oxygen. Oxygen can accelerate combustion, making even a small spark potentially dangerous. This sign serves as a constant reminder to avoid smoking and open flames near the oxygen source.

B: Attaching oxygen containers to a fixed object is important to prevent them from falling over and potentially causing damage or leaks. However, this is not the most critical instruction compared to ensuring no smoking around oxygen.

C: Storing spare oxygen tanks in a closet is not recommended. Oxygen tanks should be stored in a well-ventilated area to prevent the buildup of oxygen, which could increase the risk of fire.

D: Notifying the fire department that oxygen is used in the home is a good safety measure. It ensures that emergency responders are aware of the presence of oxygen, which can affect their approach in case of a fire. However, it is not as immediate a safety measure as posting a “No Smoking” sign.

E: Ensuring oxygen tubing is no longer than 60 feet in length is important to maintain adequate oxygen flow and prevent tripping hazards. However, this is a secondary safety measure compared to preventing smoking around oxygen.

Correct Answer is ["2"]

Explanation

Step 1: Determine the dosage required. 650 mg

Step 2: Determine the dosage per tablet. 325 mg per tablet

Step 3: Calculate the number of tablets needed. 650 mg ÷ 325 mg per tablet = 2 tablets

The nurse should administer 2 tablets.

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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 providing care for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is preparing to administer aspirin 650 mg PO every 12 hours. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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