Exam 20: Cardiovascular and Respiratory Disorders

Clinical heart failure (HF) is categorized as left-sided, right-sided, or both-sided (biventricular) failure. Mrs. Poulin, 80 years of age, lives in a long-term care (LTC) facility and has been diagnosed as having Class II mild heart failure. She is comfortable at rest and occasionally dyspneic after completing her own morning care. Which atypical exacerbation of congestive heart failure (CHF) should the nurse be alerted to when caring for Mrs. Poulin?

What is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older adults who have HF?

The exercise tolerance of an older adult is impaired after a myocardial infarction (MI) because of a low ejection fraction. Which of the following primary interventions should the nurse use to assist this individual to restore baseline functional status?

An older male adult in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity, and two minutes later, he passes out but regains consciousness quickly. Which of the following instructions does the nurse include in patient teaching to reinforce to this older adult the importance of cooling down after exercise?

Which of the following statements about heart disease in older adults is true?

Pneumonia and influenza are the seventh and eighth leading causes of death for men and women over the age of 65, respectively, according to Statistics Canada. To prevent pneumonia and influenza in the older adult, what is the priority nursing intervention?

The Public Health Agency of Canada and the Canadian Lung Association recommend that every older adult who will be entering a long-term care (LTC) facility as a resident will become part of communal living and must therefore undergo annual testing for tuberculosis (TB).Which of the following statements about TB in older adults is true?

After an older adult's acute exacerbation of chronic obstructive pulmonary disease (COPD), the nurse prepares the patient for discharge to home. What is the most important patient teaching for the nurse to include for the prevention of hospitalizations for exacerbation of COPD?

An older female adult who has chronic obstructive pulmonary disease (COPD) wants to perform self-care activities. Which instruction should the nurse include in patient teaching to help this older adult achieve this goal?

The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual at 110-120 beats per minute. What should the nurse do to eliminate pneumonia as a potential cause of the change in this resident's status?

Which of the following statements about heart disease in older adults is true?