The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors? (Select all that apply.)
a. Decreased cough reflex
b. Decreased lung elasticity
c. Increased activity of the cilia
d. Abnormal swallowing reflex
e. Increased sputum production
ANS: A, B, D
The elderly are at an increased risk for respiratory infections as a result of decreased cough reflex, decreased elastic recoil of the lungs, decreased activity of the cilia, and abnormal swallowing reflex. They do not generally have increased sputum production.
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A patient admitted after a stroke has difficulty with ambulation. Which of the following terms refers to the inability to coordinate muscle movements as exhibited by this patient?
A) Dementia B) Ataxia C) Aphasia D) Agnosia
The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a practicing Muslim. In acting as an advocate for the client, what request should the nurse make of the admission clerk?
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Which of the following actions has the highest priority for maintaining safety when caring for a patient with a PA catheter?
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