The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration?
A) A resident who suffered a severe stroke several weeks ago
B) A resident with mid-stage Alzheimer's disease
C) A 92-year-old resident who needs extensive help with ADLs
D) A resident with severe and deforming rheumatoid arthritis
Ans: A
Feedback:
Aspiration may occur if the patient cannot adequately coordinate protective glottic, laryngeal, and cough reflexes. These reflexes are often affected by stroke. A patient with mid-stage Alzheimer's disease does not likely have the voluntary muscle problems that occur later in the disease. Clients that need help with ADLs or have severe arthritis should not have difficulty swallowing unless it exists secondary to another problem.
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