Acute Respiratory Distress (ARDS) · NCLEX Exam

Which of the following is a key nursing diagnosis relevant to aspiration risk?

  1. Impaired urinary elimination related to retention
  2. Risk for aspiration related to a decreased gag and swallow reflex
  3. Excess fluid volume related to sodium and water retention
  4. Ineffective peripheral tissue perfusion related to venous stasis
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Correct answer: Risk for aspiration related to a decreased gag and swallow reflex

Impaired gag/swallow reflex and altered consciousness predispose to aspiration—nurses must recognise risk for aspiration diagnosis and implement preventive strategies.

Difficulty: Easy Question 12 of 14

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