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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Diabetes can lead to damage of blood vessels throughout the body, both large and small. Complications can affect various organs and systems, including the heart, kidneys, eyes, and nerves. Damage to both large vessels (macrovascular complications) and tiny vessels (microvascular complications) contributes to the diverse range of complications associated with diabetes.
B. Both type 1 and type 2 diabetes increase the risk of long-term complications, but the specific risks and patterns of complications may differ between the two types. While individuals with type 1 diabetes may face challenges in achieving tight glycemic control due to the complete absence of endogenous insulin production, tight control can significantly reduce the risk of complications in both type 1 and type 2 diabetes.
C. Lower HbA1c levels indicate better overall glycemic control and are associated with reduced risk of long-term complications. However, achieving tight glycemic control should be balanced with the risk of hypoglycemia and individual patient factors.
D. Hypoglycemia can also lead to increased risk of cardiovascular events and mortality in individuals with diabetes. Therefore, it is important to balance glycemic control to minimize the risk of hypoglycemia while also reducing the risk of hyperglycemia-related complications.

A. "Your airways are inflamed and spastic." B. "You have fluid in your lungs that is causing shortness of breath." C. "Your airways are stretched and nonfunctional." D. "You have a low-grade infection that keeps your bronchial tree irritated."

Correct Answer is A

Explanation

A. Asthma is a chronic respiratory condition characterized by inflammation and hyperresponsiveness of the airways. This inflammation leads to bronchoconstriction, causing symptoms like wheezing, shortness of breath, chest tightness, and coughing. This description accurately captures the primary pathological features of asthma.
B. Fluid in the lungs, also known as pulmonary edema, is not a characteristic of asthma. Pulmonary edema is usually associated with conditions such as heart failure or acute respiratory distress syndrome (ARDS), not asthma.
C. Airway stretching and nonfunctionality are not characteristics of asthma. Conditions like bronchiectasis involve permanent dilation and damage to the airways, leading to chronic infections and impaired clearance of mucus, but this is different from asthma.
D. Asthma is not primarily caused by an infection, although infections can trigger asthma exacerbations. The primary issue in asthma is chronic inflammation and hyperresponsiveness of the airways, which are not caused by a low-grade infection but by a combination of genetic and environmental factors.

View Question and Answer

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

Which client would the nurse identify as high risk for developing aspiration pneumonia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

Correct Answer is A

Explanation

A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?

Correct Answer is A

Explanation

What is the desired peripheral capillary oxygen saturation (Spo2) level in the patient with chronic obstructive pulmonary disease?

Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?

Which breakfast menu is most appropriate for a patient with diabetes?

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

Which client would the nurse identify as high risk for developing aspiration pneumonia?