Question 1

The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection by:

Accepted Answer

A) walking the client to the bathroom instead of using the bedside commode. 
B) encouraging compliance with prescribed antibiotic therapy. 
C) evaluating the client's ability to effectively cough and deep breathe. 
D) offering fluids every hour while the client is awake. 
A) walking the client to the bathroom instead of using the bedside commode. 
B) encouraging compliance with prescribed antibiotic therapy. 
C) evaluating the client's ability to effectively cough and deep breathe. 
D) offering fluids every hour while the client is awake. C

Question 2

The nurse caring for an older adult prescribed corticosteroids for asthma educates the client that the medication is safe and well tolerated when:

Accepted Answer

A) taken just before retiring for the night. 
B) reserved for acute attacks only. 
C) used exactly as prescribed. 
D) taken in the inhalant form. 
A) taken just before retiring for the night. 
B) reserved for acute attacks only. 
C) used exactly as prescribed. 
D) taken in the inhalant form. C

Question 3

The nurse is coordinating care for a newly admitted older adult diagnosed with hypertension, asthma, atrial fibrillation, mild osteoarthritis, and glaucoma.Before administering the client's newly prescribed corticosteroid medication, the nurse is especially interested in which of the following? Select all that apply.

Accepted Answer

A) The name of his hypertension medication 
B) What he uses to manage his arthritic pain 
C) Whether he feels his asthma is well controlled 
D) Whether he takes his low-dose aspirin regularly 
E) Whether he has ever had glaucoma-related surgery 
A) The name of his hypertension medication 
B) What he uses to manage his arthritic pain 
C) Whether he feels his asthma is well controlled 
D) Whether he takes his low-dose aspirin regularly 
E) Whether he has ever had glaucoma-related surgery A, B, D

Question 4

Because the diagnosis of asthma can be difficult in that it mimics other conditions, the nurse gives priority to assessing an older client who presents with symptoms of acute respiratory distress for:

Accepted Answer

A) substernal chest pain. 
B) a history of panic attacks. 
C) any known allergies. 
D) bruising on the chest. 
A) substernal chest pain. 
B) a history of panic attacks. 
C) any known allergies. 
D) bruising on the chest.

Question 5

The nurse preparing information for the caregivers of a 79-year-old with chronic respiratory issues will make the greatest impact on their ability to provide quality care while maintaining their own emotional well being by including:

Accepted Answer

A) suggestions regarding proper nutrition and exercise for the caregiver. 
B) an explanation on how to preserve the client's sense of autonomy. 
C) encouragement for the primary caregiver to set aside time for his or her own interests. 
D) recommendations of periodic self-reflection regarding the stressors they experience. 
A) suggestions regarding proper nutrition and exercise for the caregiver. 
B) an explanation on how to preserve the client's sense of autonomy. 
C) encouragement for the primary caregiver to set aside time for his or her own interests. 
D) recommendations of periodic self-reflection regarding the stressors they experience.

Question 6

Because the older adult is not as likely to exhibit the typical signs of ineffective gas exchange, the nurse is particularly suspicious of:

Accepted Answer

A) a nonproductive cough in an afebrile client. 
B) irritability in a usually pleasant client. 
C) pale nail beds in a client of color. 
D) an elevated WBC count in an 82-year-old client. 
A) a nonproductive cough in an afebrile client. 
B) irritability in a usually pleasant client. 
C) pale nail beds in a client of color. 
D) an elevated WBC count in an 82-year-old client.

Question 7

An older adult client who has tuberculosis is being treated with the drugs isoniazid 300 mg daily, rifampin 600 mg daily, and pyrazinamide 1500 mg daily.The nurse stresses the importance that the client:

Accepted Answer

A) wear tinted glasses when out in the sun. 
B) minimize contact with children under the age of 3 years. 
C) avoid alcohol while on the drug therapy. 
D) eat and drink dairy sparingly. 
A) wear tinted glasses when out in the sun. 
B) minimize contact with children under the age of 3 years. 
C) avoid alcohol while on the drug therapy. 
D) eat and drink dairy sparingly.

Question 8

An older client admitted to the hospital with symptoms strongly suggestive of tuberculosis has a negative Mantoux test.The nurse correctly anticipates that:

Accepted Answer

A) the purified protein derivative ( PPD ) test will be administered. 
B) a chest x-ray will be ordered to detect possible infiltration. 
C) therapy consisting of a combination of bactericidal drugs will be initiated. 
D) the skin test will be repeated to achieve a booster effect. 
A) the purified protein derivative ( PPD ) test will be administered. 
B) a chest x-ray will be ordered to detect possible infiltration. 
C) therapy consisting of a combination of bactericidal drugs will be initiated. 
D) the skin test will be repeated to achieve a booster effect.

Question 9

The nurse is concerned about an older adult client developing toxic levels of the prescribed theophylline when it is determined that the client has a(n):

Accepted Answer

A) one-pack a day smoking habit. 
B) elevated serum potassium level. 
C) history of chronic bronchitis. 
D) chronic, nonproductive cough. 
A) one-pack a day smoking habit. 
B) elevated serum potassium level. 
C) history of chronic bronchitis. 
D) chronic, nonproductive cough.

Question 10

An 80-year-old client is concerned about contracting pneumonia.The nurse educates her that the key to prevention is:

Accepted Answer

A) early recognition of the symptoms. 
B) being vaccinated against the disease every 5 years. 
C) minimizing contact with the public during the winter months. 
D) supplementation of daily diet with various vitamin C sources. 
A) early recognition of the symptoms. 
B) being vaccinated against the disease every 5 years. 
C) minimizing contact with the public during the winter months. 
D) supplementation of daily diet with various vitamin C sources.

Question 11

An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.The nurse recognizes that these test results are observed in the client's:

Accepted Answer

A) ineffective cough reflex. 
B) swallow breathing. 
C) slow respiratory rate. 
D) frequent respiratory infections. 
A) ineffective cough reflex. 
B) swallow breathing. 
C) slow respiratory rate. 
D) frequent respiratory infections.

Question 12

The nurse evaluating the effectiveness of an older client's self management of asthmatic symptoms is particularly interested in which of the following? Select all that apply.

Accepted Answer

A) How many times a week a rescue inhaler treatment is needed 
B) How well the client is able to avoid the known triggers 
C) Whether the client experience frequent respiratory infections 
D) Whether the client requires rest periods during the day 
E) Whether the client believes he has the support of his family and friends 
A) How many times a week a rescue inhaler treatment is needed 
B) How well the client is able to avoid the known triggers 
C) Whether the client experience frequent respiratory infections 
D) Whether the client requires rest periods during the day 
E) Whether the client believes he has the support of his family and friends

Question 13

In order to best minimize an older adult's risk for developing a pos surgical atelectasis, the nurse does which of the following? Select all that apply.

Accepted Answer

A) Regularly assesses and medicates for pain 
B) Teaches effective deep breathing techniques 
C) Provides oxygen via nasal cannula 
D) Encourages the client to drink all fluids on meal trays 
E) Assesses lung sounds frequently 
A) Regularly assesses and medicates for pain 
B) Teaches effective deep breathing techniques 
C) Provides oxygen via nasal cannula 
D) Encourages the client to drink all fluids on meal trays 
E) Assesses lung sounds frequently

Question 14

The nurse is aware the typical occurrence of comorbidities in the older adult.Motivated by this knowledge the nurse assesses a client with diagnosed respiratory dysfunction for possible:

Accepted Answer

A) poor wound healing of the legs and feet. 
B) ineffective absorption of vitamins and minerals. 
C) abnormal urine protein levels. 
D) visual problems including retinal detachment. 
A) poor wound healing of the legs and feet. 
B) ineffective absorption of vitamins and minerals. 
C) abnormal urine protein levels. 
D) visual problems including retinal detachment.

Question 15

When teaching older adult asthmatic clients techniques for improving their prognosis, the nurse stresses the importance of which of the following? Select all that apply.

Accepted Answer

A) Being alert for the early signs of breathing problems 
B) Fostering an effective relationship with your healthcare provider 
C) Identifying and avoid those things that are personal triggers 
D) Incorporating regular rest periods into your daily routine 
E) Increasing vitamin C consumption especially during winter months 
A) Being alert for the early signs of breathing problems 
B) Fostering an effective relationship with your healthcare provider 
C) Identifying and avoid those things that are personal triggers 
D) Incorporating regular rest periods into your daily routine 
E) Increasing vitamin C consumption especially during winter months

Exam 24: Respiratory Function

The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection by:

The nurse caring for an older adult prescribed corticosteroids for asthma educates the client that the medication is safe and well tolerated when:

Because the diagnosis of asthma can be difficult in that it mimics other conditions, the nurse gives priority to assessing an older client who presents with symptoms of acute respiratory distress for:

The nurse preparing information for the caregivers of a 79-year-old with chronic respiratory issues will make the greatest impact on their ability to provide quality care while maintaining their own emotional well being by including:

Because the older adult is not as likely to exhibit the typical signs of ineffective gas exchange, the nurse is particularly suspicious of:

An older adult client who has tuberculosis is being treated with the drugs isoniazid 300 mg daily, rifampin 600 mg daily, and pyrazinamide 1500 mg daily.The nurse stresses the importance that the client:

An older client admitted to the hospital with symptoms strongly suggestive of tuberculosis has a negative Mantoux test.The nurse correctly anticipates that:

The nurse is concerned about an older adult client developing toxic levels of the prescribed theophylline when it is determined that the client has a(n):

An 80-year-old client is concerned about contracting pneumonia.The nurse educates her that the key to prevention is:

An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.The nurse recognizes that these test results are observed in the client's:

The nurse evaluating the effectiveness of an older client's self management of asthmatic symptoms is particularly interested in which of the following? Select all that apply.

In order to best minimize an older adult's risk for developing a pos surgical atelectasis, the nurse does which of the following? Select all that apply.

The nurse is aware the typical occurrence of comorbidities in the older adult.Motivated by this knowledge the nurse assesses a client with diagnosed respiratory dysfunction for possible:

When teaching older adult asthmatic clients techniques for improving their prognosis, the nurse stresses the importance of which of the following? Select all that apply.

Overview of Gerontologic Nursing

Theories of Aging

Legal and Ethical Issues

Gerontologic Assessment

Cultural Influences

Family Influences

Socioeconomic and Environmental Influences

Health Promotion and Illnessdisability Prevention

Health Care Delivery Settings and Older Adults

Nutrition

Sleep and Activity

Safety

Intimacy and Sexuality

Mental Health

Pain

Infection

Chronic Illness and Rehabilitation

Substance Abuse

Cancer

Loss and End-Of-Life Issues

Laboratory and Diagnostic Tests

Pharmacologic Management

Cardiovascular Function

Endocrine Function

Gastrointestinal Function

Musculoskeletal Function

Urinary Function

Cognitive and Neurologic Function

Integumentary Function

Sensory Function

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