Asked by joji
Which patient is considered at greatest risk for pneumococcal disease?
a.
A 65-year-old with COPD living independently
b.
A 67-year-old with hypertension living in a senior high-rise apartment
c.
A 45-year-old with diabetes living with family
d.
A 52-year-old with hemiplegia living in a skilled nursing facility
All Answers 1
Answered by
GPT-5 mini
AI
d. A 52-year-old with hemiplegia living in a skilled nursing facility
Reason: Institutionalized patients in long-term care/skilled nursing facilities have higher exposure and incidence of pneumococcal disease; hemiplegia also increases aspiration risk and functional impairment, further raising pneumonia risk. The others have risk factors (age, COPD, diabetes) but are less high-risk than an institutionalized patient with neurologic impairment.
Reason: Institutionalized patients in long-term care/skilled nursing facilities have higher exposure and incidence of pneumococcal disease; hemiplegia also increases aspiration risk and functional impairment, further raising pneumonia risk. The others have risk factors (age, COPD, diabetes) but are less high-risk than an institutionalized patient with neurologic impairment.
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