medium · NCLEX-RN safety

In the 'Analyze Mechanism' step for a client with botulism, the nurse identifies that the client has lost the ability to cough.

What is the most likely pathophysiologic mechanism for this change?

  1. Inflammation and narrowing of the upper airway passages, for this client.
  2. Direct destruction of the alveolar-capillary membrane.
  3. Excessive production of thick, tenacious mucus in the bronchi.
  4. Interruption of acetylcholine release at the neuromuscular junction.

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