karusmle
Forum Guru
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An 87-year-old nursing home resident with dementia, Alzheimer’s type, is admitted to the hospital because of progressive lethargy and decreased appetite for 3 days. She had a flu-like illness followed by a deep cough 1 week ago. Over the past 10 months, she has been hospitalized once for bacterial pneumonia. She is responsive only to painful stimuli. Her temperature is 38.6 C (101.5 F), blood pressure is 110/60 mm Hg, pulse is 123/min and regular, and respirations are 28/min. Examination shows dry mucous membranes. There is no adenopathy. Crackles are heard in the right lung base. An x-ray film of the chest shows and infiltrate at the right lung base. The remainder of the examination shows no abnormalities. Which of the following is the most likely predisposing factor for this patient’s pneumonia?<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
A) Decreased airway elasticity
B) Decreased baroreflex
C) Decreased gag reflex
D) Decreased thyroid function
E) Diastolic cardiac dysfunction
F) Impaired cardiac response to exercise
G) Impaired T –lymphocyte function
H) Impaired thirst
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| MAZI
Forum Elite
Topics: 8
Posts: 245
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C
ASPIRATON PNEUMONIA
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| msyamp
Forum Fanatic
Topics: 60
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C but cant it be because of previous URI decreces t lymphocyte function. NAH. i DONT THINK SO.
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| cyra
Moderator
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Agreed...C
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| yasmeen
Forum Guru
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C
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| nihal
Forum Junior
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decreased t lymphocytes
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| AAAAA
Forum Fanatic
Topics: 156
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C
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| suzy
Forum Junior
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Hi Mazi,
I just dont get how u got C for the answer. Can u please explain...what words gave u the answer in the vignette?
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| som
Forum Guru
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dementia alzhiemer's type, response to only painful stimuli r the clues
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| MAZI
Forum Elite
Topics: 8
Posts: 245
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hi suzy
one of the risk factor for asipation pnumonia is demenctia and another is seizure , alcohol, and any cause that impaire gag reflex and cause aspiration of oral cotent and secretion when the patient lying
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