An 81-year-old client is being rehabilitated in an inpatient ...

[kamilo84]

An 81-year-old client is being rehabilitated in an inpatient setting following her recovery from the acute stages of a stroke. The stroke resulted in dysphagia, which creates a risk of what respiratory problem?
 
  A) Increased viscosity (thickness) of secretions
  B) Aspiration of food or fluid
  C) Increased quantity of secretions
  D) Laryngeal atrophy

Question 2

Which breath sounds are soft and low in pitch and may be inaudible on expiration?
 
  a. bronchial c. tracheovesicular
  b. bronchovesicular d. vesicular

[aburgess]

Answer to Question 1

B
Feedback:
Older adults with difficulty swallowing (dysphagia), often associated with strokes or middle and late stages of dementia, are more vulnerable to aspiration pneumonia. Evaluation of dysphagia is important for implementing appropriate interventions to prevent aspiration. Dysphagia does not directly increase the viscosity or quantity of secretions. Atrophy of the larynx is not a direct result of dysphagia.

Answer to Question 2

D
Normal breath sounds include the bronchial breath sounds heard over the sternum, bronchovesicular breath sounds heard over the anterior third of the chest near the sternum and around the scapula, and vesicular breath sounds heard over most of the lungs, which are soft and low in pitch and may be inaudible on expiration.