The nurse is caring for a client at risk for aspiration pneumonia due to a stroke - A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.

 
<b>Risk</b> <b>for aspiration</b> <b>Risk</b> <b>for aspiration</b> is reduced when food is eliminated from the diet. . The nurse is caring for a client at risk for aspiration pneumonia due to a stroke

Blood clots or deep vein thrombosis (DVT) When you are in the hospital or immobile for a long time, you are at. Signs of aspiration Signs of aspiration include: Coughing Choking Gagging Throat clearing Vomiting You and your caregiver should watch for these signs before, during, and after you eat, drink, or tube feed. When feeding client, watch for signs of impaired swallowing or aspiration, including coughing, choking, spitting food, or excessive drooling. 29 Difficulty with swallowing oropharyngeal secretions was also associated with pneumonia in a small case-control study in a long-term care facility. However, patient will be allowed to snack on ice chips as tolerated and as approved by the speech therapist. Information technology: Some facilities have computerized charting that prompts care planning based on risk. This is likely caused by someone losing their gag reflex but can also be caused by inability to clear secretions/emesis, as well as from a position or medication (such as a sedative medication. cough, possibly with green sputum, blood, or a foul odor. This is likely caused by someone losing their gag reflex but can also be caused by inability to clear secretions/emesis, as well as from a position or medication (such as a sedative medication. Curr Opin Crit Care 2011 Feb;17(1):57-63. However, patient will be allowed to snack on ice chips as tolerated and as approved by the speech therapist. Our findings are in keeping with the results of a study of community-acquired pneumonia in the elderly, where aspiration was determined to be an independent risk factor for pneumonia. showed 30-day mortality of 21%. However, patient will be allowed to snack on ice chips as tolerated and as approved by the speech therapist. If the epiglottis loses muscle tone, liquid can seep around it into the lungs and cause aspiration pneumonia. Patient will continue to receive all nutrients via PEG tube feeding. Weakness Nursing Care Plans Diagnosis and Interventions. The nurse should. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. The nurse is caring for a client at risk for aspiration pneumonia due to a stroke. risk for aspiration related to ineffective cough reflex, which could lead to hypoxia. Question 10. Summarize interprofessional team strategies for improving care and outcomes in patients with aspiration pneumonia. As with all other nursing care, nurses must be able to identify and report client deviations from what is expected in terms of their growth and development and they must also be able to modify care and their approaches to care as based on these deviations. A nurse is admitting a client who has pulmonary tuberculosis. RN Concept-Based Assessment Level 1 A Test Bank 2022 1. This is because food or liquid can get stuck in the back of your throat and go into your airway. 14 Oral health care and aspiration pneumonia in frail older people: a systematic literature review; SR; 2012 Elderly from NH Total: 810 (pooled from 5 studies) 30 days-24 months Incidence of aspiration pneumonia; improvement in swallowing & cough reflex 1- 3 15 Effect of professional oral health care on the elderly living in nursing homes. Aspiration is a potential complication of stroke. Atelectasis is a lung condition that is described as a partial or complete collapse of the lung or parts of the lung. Here are 11 nursing diagnoses common to pneumonia nursing care plans (NCP). For individuals aged 65 years and older, pneumonia and influenza were the sixth leading cause of death in 2005. Signs of aspiration Signs of aspiration include: Coughing Choking Gagging Throat clearing Vomiting You and your caregiver should watch for these signs before, during, and after you eat, drink, or tube feed. blue discoloration of the skin. blue discoloration of the skin. Monitor the blood pressure 3. Administer an antipyretic every 4 hours 4. The patient should successfully pass a bedside swallowing assessment before eating, drinking, or consuming as needed medications. A port-a-cath, also referred to as a port, is an implanted device which. A nurse is caring for a client who has pneumonia. Position fingers so that they are barely flexed; place hand in slight supination. Dysphagia is a condition that makes it difficult to swallow. Prevent adduction of the affected shoulder with a pillow placed in the axilla. Receiving medicine to put you into a deep sleep for surgery (general. A nurse is caring for a client who is post-op day #1 after a total hip replacement. If this inhalation progresses to infection, aspiration pneumonia can develop. August 12, 2017 ·. If this inhalation progresses to infection, aspiration pneumonia can develop. Marie McKerry on her appointment as chief nurse of the Care Inspectorate. It may be food, liquid, or some other material. Impaired Gas Exchange. Clients may require a specific type of liquid consistency if they have dysphagia and increased risk for aspiration. If client is having problems swallowing, see Nursing Interventions for Impaired swallowing. Identify the pathophysiology of aspiration pneumonia. You may become less active as you age, or you may be bedridden. A. A bedridden patient becomes vulnerable to various health complications like painful bed sores, circulation and respiratory problems, depression and contractures, due to lack of activity for long periods. Weakness can also lead to a lack of energy to move specific, or even all, parts of the body, as well. Dysphagia, or impaired swallowing, may result in aspiration and can significantly contribute to morbidity and mortality. 11 thg 3, 2021. What nursing actions help prevent this potential complication during hospitalization?. May 09, 2022 · Last Update: May 9, 2022. A nurse is planning care for a client who is 8 hour post-op following a coronary artery bypass grafting. If the epiglottis loses muscle tone, liquid can seep around it into the lungs and cause aspiration pneumonia. This is a condition where pneumonia develops after inhaling non-air substances; such as food, liquid, saliva, or even foreign objects. The nurse bases the client 's care on the understanding that the client is at risk for developing which type of pneumonia? a Aspiration pneumonia b Primary atypical pneumonia c Acute bronchial pneumonia d Viral pneumonia. Identify the pathophysiology of aspiration pneumonia. Study findings concluded that the supine position and length of time the patient is kept in this position are potential risk factors for aspiration of gastric contents. Appointments 216. · a nurse is caring for a client who has anorexia nervosa. Definition nurses often collaborate to promote safety to initiate a plan of care, the nurse must identify risk factors using a risk assessment tool, and complete a nursing history, a physical examination and a home hazard appraisal Term Bed/Client positions Definition semi-fowler - 30d; prevent tube regurgitation and aspiration fowler 45 - NG, suctioning, vent, abdomen surgery drainage high. Identify patients at an increased risk for aspiration. If the epiglottis loses muscle tone, liquid can seep around it into the lungs and cause aspiration pneumonia. Based on their culture, which of the following is believed to be the cause of the illness? A. Elevate the head of the patient's bed to high Fowler position during meals and for 30 minutes afterward to limit the risk of aspiration. Acute Pain. Aspiration is when something enters the airway or lungs by accident. This is called dysphagia. The nurse is caring for a client who had a stroke. Aug 31, 2022 · What increases my risk for aspiration pneumonia? Your risk is highest if you are older than 75 or live in a nursing home or long-term care center. Inability to clear the airway of secretions and obstructions due to. Aspiration Pneumonia. Log In My Account yu. Residents of long-term care facilities may become infected through their contacts with the healthcare system; as such, the microbes responsible for their pneumonias may be different from those traditionally seen in community-dwelling patients, requiring therapy with different. class=" fc-smoke">Feb 24, 2020 · Aspiration pneumonia symptoms. The nurse. esstisch eiche ausziehbar 140; top country songs 2000 2020; eijerkamp pigeons for sale. Acute Pain. Although the client was alert with a normal affect in the morning, by lunchtime, the nurse notes the client is. May 7, 2022 Modified date: May 8, 2022. erythrocyte sedimentation rate 75mm A nurse is caring for a client who has generalized petechiae and ecchymoses. This is because they are at a higher risk for developing pneumonia. Your preferences will apply to this website only. Our findings are in keeping with the results of a study of community-acquired pneumonia in the elderly, where aspiration was determined to be an independent risk factor for pneumonia. It may. This is an infection of the lungs that causes fluid to build up in the lungs. Summarize interprofessional team strategies for improving care and outcomes in patients with aspiration pneumonia. Which of the following topics should the nurse include in the initial teaching plan? Question 30. Clients may require a specific type of liquid consistency if they have dysphagia and increased risk for aspiration. The health care provider administering oxygen is responsible for. nonfluent aphasia c. Other considerations may involve risk precautions for aspiration, ensuring patency of tube feeding, watching out for electrolyte imbalances or other untoward reactions, and adequate health teaching of client and family members on enteral feeding. Transcript: Aspiration pneumonia occurs when a person inhales foreign material through the lungs. Attempted aspiration did not yield enough fluid for the verification pH test. Ineffective breathing pattern Knowledge deficit/Deficient knowledge Activity intolerance Risk for infection Risk for nutritional imbalance: less than body requirements The nurse must remember, however, that the nursing diagnoses that can be made among patients suffering from pneumonia are not limited to the ones identified above. In fact, there are seven times more chances that you will develop aspiration pneumonia if you already have dysphagia. Acute myelogenous leukemia (AML) (also known as acute nonlymphocytic leukemia, or ANLL) causes the rapid accumulation of megakaryocytes (precursors to platelets), monocytes, granulocytes, and RBCs. It specifically affects the lung alveoli wherein they either become deflated or filled with alveolar fluid. May 09, 2022 · In an observational study, it is found that the risk of patients hospitalized for community-acquired pneumonia in developing aspiration pneumonia is found to be about 13. 2 Impaired Gas Exchange. Place the client in an upright position during meals. " A client vomits during a continuous nasogastric tube feeding. Children and adults can aspirate food particles and other items, which can lead to a hospital. Clients may require a specific type of liquid consistency if they have dysphagia and increased risk for aspiration. They are as follows: Ineffective Airway Clearance. Nutrition is important in preventing pressure ulcers (NICE, 2014) and forms part of the risk assessment. May 09, 2022 · Last Update: May 9, 2022. This is the first step of its assessment feeling the patient using your hands as a nurse. Someone with dysphagia, no matter the cause is at high risk for aspiration. Elderly patients have a decrease in esophageal motility, which delays esophageal emptying. Decreased Activity Tolerance. This type of diet can help prevent aspiration. Decreased Activity Tolerance. Gagging and coughing. In addition to each individual's food intake ability, improper feeding assistance was related to the risk factors for AP among home care patients with NGT-oral feeding. ) G R A D E S L A B. Risk for Imbalanced Nutrition: Less Than Body Requirements 5. Pneumonia Nursing Care Plans Diagnosis and Interventions. Mouth care is to be performed every 4 hours along with lip care. Aspiration occurs when something enters into the lungs that is not air. How to Respond to a Choking Victim. Pneumonia is an infection of the lungs that can be caused by bacteria, fungi, or viruses. client, which leads to increased satisfaction with care. dixie chopper eagle hp This course offering is through a LMS platform with weekly online assignments for the first 5 weeks. Which nursing interventions should be included in the plan of care? Select all that apply. Although the risk of aspiration in instrumental studies is reduced with liquids with increasing degrees of thickness, higher viscosity liquids also result in increased pharyngeal residue after swallowing with the potential for increased aspiration risk [ 28 ]. Place the client on her left side. The incidence of stroke is around 800,000 people annually. Weakness can also lead to a lack of energy to move specific, or even all, parts of the body, as well. A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Jan 12, 2022 · Aspiration increases your risk for aspiration pneumonia. When inflamed, the air sacs may produce fluid or pus which can cause productive cough and difficulty breathing. WBC count 8,000 b. A magnifying glass. Symptoms of aspiration pneumonia include chest pain, shortness of breath, coughing, wheezing, difficulty breathing, foul-smelling breath, and excessive sweating. Risk for aspiration decreases as the patient successfully passes consecutive. If you have any questions, contact a member of your care team directly. loss of anatomical integrity of the upper and lower esophageal sphincters, (2). Based on their culture, which of the following is believed to be the cause of the illness? A. They're staffed wi. Nursing assessment is critical in detecting pneumonia. The healthcare provider can advise the following actions to prevent aspiration: 1. 12 Feb 2018. Assess respiratory symptoms. Which rhythm leads the nurse to believe this? Ventricular tachycardia. Ventilator-associated pneumonia: Role of positioning. This is because food or liquid can get stuck in the back of your throat and go into your airway. 14 Oral health care and aspiration pneumonia in frail older people: a systematic literature review; SR; 2012 Elderly from NH Total: 810 (pooled from 5 studies) 30 days-24 months Incidence of aspiration pneumonia; improvement in swallowing & cough reflex 1- 3 15 Effect of professional oral health care on the elderly living in nursing homes. Aspiration can lead to pneumonia, respiratory infections (infections in your nose, throat, or lungs), and other health problems. This article summarizes factors that might influence the development of aspiration pneumonia and minimize risk, such as the position of the patient's body, method of feeding, and size of the. The condition is quite common in elderly people with dysphagia and often leads to complications such as aspiration pneumonia. The prevalence of community-acquired pneumonia in elderly adults is rising, with a greater risk of infection in those older than 75 years. The infectious pulmonary process that occurs after abnormal entry of fluids into the lower respiratory tract . Atelectasis NCLEX Review and Nursing Care Plans. •Dependent for oral care (2) •Poor-decayed dentition (2) •Number of medications (2). The following also increase your risk for aspiration pneumonia:. bad breath. Chest infection may affect up to as many as one-third of stroke patients. Avoid sedating dications before als 2. For individuals aged 65 years and older, pneumonia and influenza were the sixth leading cause of death in 2005. If left untreated, complications can be serious, even fatal. ax nb. A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. What increases my risk for aspiration pneumonia? Your risk is highest if you are older than 75 or live in a nursing home or long-term care center. 49 - 51 In addition, deaths from pneumonitis due to aspiration of solids and liquids (eg, aspiration pneumonia) are increasing and are currently ranked 15th on the CDC list of common causes of mortality. Palpation is a process where the nurse physically examines the patient. 30 thg 6, 2022. If not identified and managed, it can lead to poor nutrition, pneumonia and disability. Coordination of Care. The incidence of stroke is around 800,000 people annually. bad breath. Weakness can also lead to a lack of energy to move specific, or even all, parts of the body, as well. The nurse will also inquire about the client's nutritional status and whether she is getting enough nutrients to strengthen her immune system. The flap that covers the trachea and prevents liquids from entering the lungs when swallowing is called the epiglottis. The provider wants to rule out any other medical conditions that may be contributing to or causing the symptoms. The focus of this plan of care is the client with invasive. Fever, which is heat, burns a lot of energy just like a furnace. Aspiration Pneumonia. If this inhalation progresses to infection, aspiration pneumonia can develop. Stroke Drug overdose Alcohol use disorder Seizures General anesthesia Head trauma Intracranial masses Dementia Parkinson disease Esophageal strictures. The enters which nursing diagnosis in the client's plan of care? > Ineffective. Good dental hygiene is important to minimize risk for aspiration pneumonia for several reasons: Missing teeth and poorly fitted dentures predispose to aspiration by interfering with chewing and swallowing. With an effective nursing care plan, many of these risks and. Cerebrovascular accident (CVA) or stroke is the leading cause of adult disability worldwide. Aspiration pneumonia is an infection of the lungs caused by inhaling saliva, food, liquid, vomit and even small foreign objects. A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. Immune-compromising events can cause an autoimmune response that can lead to periodontitis, per Shay. Question only answer Image transcription text31-The nurse is caring for a client at risk for aspiration pneumonia due to a stroke. Impaired Gas Exchange 3. Patient will continue to receive all nutrients via PEG tube feeding. Aspiration pneumonia then results when orogastric secretions colonized with bacteria produce an infectious response in the lungs. You might become breathless and develop chest pain on deep breathing. Impaired Gas Exchange. However, patient will be allowed to snack on ice chips as tolerated and as approved by the speech therapist. Place the client in an upright position during meals. Log In My Account dd. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway. Aspiration pneumonia is an infection of the lungs caused by inhaling saliva, food, liquid, vomit and even small foreign objects. To reduce gastric reflux and aspiration, which can lead to VAP in mechanically ventilated patients, keep the head of the bed elevated between 30 and 45 degrees (semirecumbent position). eclipse paho mqtt utility Nutrition is a process in which food is taken in and used by the body for growth, to keep the body healthy, and to replace tissue. Which of the following tasks should the nurse delegate to assistive personnel (AP). Aspiration is when something enters the airway or lungs by accident. A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. Risk for aspiration decreases as the patient successfully passes consecutive. A nurse is providing teaching to an. Avoid sedating dications before als 2. Step 1: Thickened liquids Thickened liquids are an effective way to improve the ability of someone with dysphagia to swallow safely. Ineffective airway clearance. Patients with impaired swallowing (dysphagia) from a stroke, Parkinson’s disease, or spinal cord injury or suffering neurological damage with the inability to clear secretions require assessment and monitoring when providing anything by mouth. Weakness can also lead to a lack of energy to move specific, or even all, parts of the body, as well. Tracheostomy may be performed to provide a long-term route for mechanical ventilation in cases of respiratory failure or to provide pulmonary toilet when the client has inadequate cough due to chronic pain or weakness, or if the client experienced aspiration and has the inability to handle secretions (Lindman & Soo, 2021). 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The flap that covers the trachea and prevents liquids from entering the lungs when swallowing is called the epiglottis. . The nurse is caring for a client at risk for aspiration pneumonia due to a stroke

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Aspiration Pneumonia. A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Although the client was alert with a normal affect in the morning, by lunchtime, the nurse notes the client is. Aspiration pneumonia can cause severe complications, especially if a person waits too long to go to the doctor. Sep 16, 2018 · Risk factors for aspiration pneumonia include people with: impaired consciousness lung disease seizure stroke dental problems dementia swallowing dysfunction impaired mental status certain. List the risk factors for aspiration pneumonia. WHY: Aspiration (the misdirection of oropharyngeal secretions or gastric contents into the larynx and lower respiratory tract) is common in older adults with dysphagia and can lead to aspiration pneumonia. Curr Opin Crit Care 2011 Feb;17(1):57-63. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Add a thickening agent tothe fluids 1. Pneumonia can be community acquired or hospital acquired. , 2016). only answer only answer no 31- The nurse is caring for a client at risk for aspiration pneumonia due to a stroke. Sooner or later you'll develop a cough with phlegm that can be a green or yellow colour. cough, possibly with green sputum, blood, or a foul odor. Infection control in high-risk community settings during Covid-19. Prioritize nursing responsibilities in admitting patients to the postanesthesia care unit (PACU). Which of the following clients should the nurse assess first?. If the baby is in the right position, the genitalia may be visualized 4. Clients may require a specific type of liquid consistency if they have dysphagia and increased risk for aspiration. Anyone exhibiting these symptoms. Question 25 (1 point) The client diagnosed. A decreased level of consciousness is a prime risk factor for aspiration. Mar 19, 2022 · Use this nursing diagnosis guide to help you create nursing interventions for aspiration risk nursing care plan. A common condition that may be observed in a client with impaired swallowing is a recurrent pulmonary infection, specifically aspiration pneumonia. In such cases, the lung tissue could be damaged, causing chemical pneumonitis. Mortality rates can be as high as 65%7. Risk for aspiration decreases as the patient successfully passes consecutive. The risk of developing pneumonia increases in patients with dysphagia and aspiration. If the epiglottis loses muscle tone, liquid can seep around it into the lungs and cause aspiration pneumonia. protein serum antigen, which is used to. Purpose: It is estimated that the older population, aged 65 and older, will make up over 20% of the U. Key points about aspiration from dysphagia. When you have dysphagia, you have trouble swallowing. Identify the pathophysiology of aspiration pneumonia. With an effective nursing care plan, many of these risks and. Nursing Management. Weakness, also referred to as asthenia, is the sensation of exhaustion or extreme fatigue in the body. stoeger xm1 accessories Acute wounds (seven trials): There were few differences found between iodine-containing solutions and control treatments in wound healing or bacterial load. The nurse is caring for a client with a chronic cough who has had a bronchoscopy. Nurses should be concerned with several issues that affect patient safety and quality of care as the reliance on family caregiving grows. If this inhalation progresses to infection, aspiration pneumonia can develop. Your health care provider may recommend it if you have moderate to severe dysphagia. You may not be able to swallow or cough well. This self-evaluation will help you identify those parts of the chapter you need to review to fully comprehend the knowledge needed to effectively perform a client nursing history and physical examination. However, patient will be allowed to snack on ice chips as tolerated and as approved by the speech therapist. The flap that covers the trachea and prevents liquids from entering the lungs when swallowing is called the epiglottis. Aspiration pneumonia can cause severe complications, especially if a person waits too long to go to the doctor. Patient will continue to receive all nutrients via PEG tube feeding. Risk for aspiration Risk for aspiration is reduced when food is eliminated from the diet. The nurse is caring for a 30-year-old male admitted with a stab wound. Ineffective breathing pattern. When inflamed, the air sacs may produce fluid or pus which can cause productive cough and difficulty breathing. Impaired swallowing is the abnormal functioning of the swallowing mechanism. When caring for a patient in shock, one of the major nursing goals is to reduce the risk that the patientwill develop complications of shock. Prevention of stroke is still the best approach. The nurse should: Attempt to replace the cord. Remove the cannula at the end of the procedure and apply a dry, sterile dressing. 8 Therefore. 34) A nurse is preparing to administer monifloxacin 400 mg by intermittent IV bolus over 60 min. cough, possibly with green sputum, blood, or a foul odor. It is a functional abnormality of the central nervous system. Usha Ravi suggests steps to ensure proper nursing and caring for your loved one confined to the bed. C O M. The nurse is caring for a client at risk for aspiration pneumonia due to a stroke. The flap that covers the trachea and prevents liquids from entering the lungs when swallowing is called the epiglottis. 28 thg 5, 2009. Risk for aspiration decreases as the patient successfully passes consecutive. Your preferences will apply to this website only. The nurse notes an ECG rhythm on the monitor that may be the cause of Tom's stroke. Which intervention by the nurse is best for preventing aspiration? A. Aspiration is defined as the misdirection of oropharyngeal or gastric contents into the larynx and lower respiratory tract. Identify the pathophysiology of aspiration pneumonia. The nurse is caring for a client diagnosed with a stroke. Jan 17, 2022 · Nursing Assessment for Risk For Aspiration. Elevate affected arm to prevent edema and fibrosis. If not identified and managed, it can lead to poor nutrition, pneumonia and disability. Patients with altered mental status are unable to protect their airways adequately from aspiration events. Offering liquids and solids together. When combined with the weaker gag reflex of elderly patients, aspiration is a higher risk. Care Setting. Other possible complications from dysphagia include: Dehydration Malnutrition Weight loss Increased risk of other illness. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of medical emergencies in order to: Apply knowledge of pathophysiology when caring for a client experiencing a medical emergency. 8 Therefore. Weakness Nursing Care Plans Diagnosis and Interventions. . Risk for aspiration decreases as the patient successfully passes consecutive. Fever, which is heat, burns a lot of energy just like a furnace. Taking illicit drugs (such as opioids) which make you less alert. Clients may require a specific type of liquid consistency if they have dysphagia and increased risk for aspiration. 4 F, SaO2 95% on 15. Risk factors for breathing in (aspiration) of foreign material into the lungs are: Being less alert due to medicines, illness, surgery, or other reasons. Our findings are in keeping with the results of a study of community-acquired pneumonia in the elderly, where aspiration was determined to be an independent risk factor for pneumonia. Some tubes have a small aspiration port running along the outside of the tube to just above the cuff (Fig 3, attached). [30, 31] Close to 90% of deaths due to pneumonia and influenza occurred in this age group. Definition nurses often collaborate to promote safety to initiate a plan of care, the nurse must identify risk factors using a risk assessment tool, and complete a nursing history, a physical examination and a home hazard appraisal Term Bed/Client positions Definition semi-fowler - 30d; prevent tube regurgitation and aspiration fowler 45 - NG, suctioning, vent, abdomen surgery drainage high. Aug 31, 2022 · What increases my risk for aspiration pneumonia? Your risk is highest if you are older than 75 or live in a nursing home or long-term care center. Anyone exhibiting these symptoms. 8 Therefore. It most commonly occurs as a result of aspiration of an inoculum of pathogens (viruses, bacteria, or, less commonly, fungi) from the oropharynx; inhalation of airborne droplets; or, less commonly, translocation from distal sites of infection via. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. When combined with the weaker gag reflex of elderly patients, aspiration is a higher risk. Using the airway, breathing, circulation approach to client care, the nurse should determine that the priority assessment finding is increased respiratory secretions. What nursing actions helpprevent this potential complication during hospitalization? Select all that apply. The residual volume provides data about possible causes of aspiration. . henatai comics