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Question:

Which of these patients would a nurse determine is not at a significant risk for aspiration?

A a 15-year-old with vomiting from a gastrointestinal illness
explanation

Vomiting due to a gastrointestinal illness is not considered to be a condition that places someone at an increased risk for aspiration. However, altered level of consciousness, enteral tube feedings (especially with residual), and oral/facial surgery and trauma are all risk factors. Additional risk factors would be impaired cough and/or gag reflex, the inability to clear respiratory secretions, dysfunction of the esophageal sphincter, impaired gastrointestinal motility and delayed gastric emptying, dysphagia, an endotracheal or tracheostomy tube and sedation.

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