Difficulty: Medium
Average Score: 80%
Simulated
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)
Correct answer
A,B,C
Rationale
The correct answers are A, B, and C.
A. A client who has had a cerebrovascular accident is at risk of aspiration due to impaired swallowing reflexes.
B. A client who has had radiation therapy for head and neck cancer may have mucositis and oral ulcers, increasing the risk of aspiration.
C. A client who is 4 hr postoperative following a leg amputation with general anesthesia may have reduced consciousness and impaired protective airway reflexes, leading to aspiration risk.
D. Lactose intolerance and prolonged diarrhea do not directly increase the risk of aspiration while eating.
A. A client who has had a cerebrovascular accident is at risk of aspiration due to impaired swallowing reflexes.
B. A client who has had radiation therapy for head and neck cancer may have mucositis and oral ulcers, increasing the risk of aspiration.
C. A client who is 4 hr postoperative following a leg amputation with general anesthesia may have reduced consciousness and impaired protective airway reflexes, leading to aspiration risk.
D. Lactose intolerance and prolonged diarrhea do not directly increase the risk of aspiration while eating.