Deck 22: Respiratory Function

Question 1

An older patient with severe peripheral arterial disease wishes to quit smoking.The nurse provide education to this patient on which of the following?

A)"Cold turkey" method
B)Gradual reduction
C)Nicotine patches
D)Bupropion hydrochloride (Zyban)

Answer 1

Bupropion hydrochloride (Zyban)

Question 2

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

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.

Answer 2

the skin test will be repeated to achieve a booster effect.

Question 3

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

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.

Answer 3

poor wound healing of the legs and feet.

Question 4

When teaching older adult asthmatic patients,the nurse stresses the importance of which of the following? (Select all that apply. )

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

Question 5

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 patient's:

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

Question 6

A patient has been taught about nutrition related to COPD.Which menu selection may indicate a need for further teaching?

A)Bagel and cream cheese
B)Broiled chicken breast
C)Beans and peas
D)Tofu stir-fry

Question 7

The nurse caring for patients using continuous positive airway pressure (CPAP)knows what about treatment effectiveness?

A)Effectiveness depends on compliance.
B)It's too expensive for many older adults.
C)It is rarely effective for sleep apnea.
D)Complicated settings make it hard to use.

Question 8

An older patient is hospitalized with influenza and is prescribed amantadine (Symmetrel).What assessment finding would indicate this drug is not appropriate for the patient?

A)BUN 22 mg/dL
B)Creatinine 3.2 mg/dL
C)Sodium 132 mEq/L
D)Potassium 4.2 mEq/L

Question 9

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

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

Question 10

A frail,older patient is in the emergency room in severe respiratory distress.The patient has had repeated hospitalizations for the same thing.After stabilizing the patient,which action by the nurse is most appropriate?

A)Determine what the patient's end-of-life wishes are.
B)Assess the family caregiver for compliance with treatment.
C)Administer intravenous (IV)fluids at a rapid rate.
D)Prepare to vaccinate the patient against pneumonia.

Question 11

An older adult with chronic obstructive pulmonary disease (COPD)asks why he should quit smoking now.What response by the nurse is best?

A)"It will keep your disease from getting worse."
B)"There are many benefits to quitting even now."
C)"It will decrease the risk of getting cancer too."
D)"You're right;there really isn't a reason to quit."

Question 12

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

A)early recognition of the symptoms.
B)being vaccinated per government guidelines
C)minimizing contact with the public during the winter months.
D)supplementing one's daily diet with various vitamin C sources.

Question 13

To minimize an older adult's risk for developing postsurgical atelectasis,the nurse does which of the following? (Select all that apply. )

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

Question 14

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

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

Question 15

The nurse is preparing information for the caregivers of a patient with chronic respiratory issues.The nurse will make the greatest impact on their ability to provide quality care while maintaining the patient's emotional well-being by including:

A)suggestions regarding proper nutrition and exercise for the caregiver.
B)an explanation on how to preserve the patient'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 the patient experiences.

Question 16

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

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

Question 17

The nurse is caring for an older adult who has been prescribed inhaled corticosteroids for asthma.What does the nurse teach about this medication?

A)Taken just before retiring for the night
B)Reserved for acute attacks only
C)Used in increasing doses as needed
D)How to use and rinse the inhaler

Question 18

The nurse gives priority to assessing an older patient who presents with symptoms of acute respiratory distress for which other condition?

A)Substernal chest pain
B)A history of panic attacks
C)Any known allergies
D)Bruising on the chest

Question 19

An older adult patient 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 patient:

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

Question 20

A patient has a pulmonary embolism and asks the nurse to explain the purpose of the heparin infusion.What response by the nurse is best?

A)"It helps dissolve the clot in your lungs."
B)"It keeps you from getting septic."
C)"It prevents the clot from getting bigger."
D)"It prevents clots from forming in your heart."

Question 21

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

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

Question 22

The nurse encouraging an older patient to start pulmonary rehabilitation shares the benefits of the program,including which of the following? (Select all that apply. )

A)Socialization
B)Decreased cardiac risks
C)Nutrition counseling
D)Weight management
E)Sports participation

Question 23

The nurse is evaluating the effectiveness of an older patient's self-management of asthma.What does the nurse assess as the priority? (Select all that apply. )

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