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

Accepted Answer

D

Question 2

The nurse is caring for an older adult who has been prescribed inhaled corticosteroids for asthma.What does the nurse teach about this medication? (Select all that apply. )
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
E)There are few side effects to worry about.

Accepted Answer

C,D

Question 3

An older adult patient who has tuberculosis is being treated with the drugs isoniazid 300 mg daily,rifampin 600 mg daily,and pyrazinamide 1,500 mg daily.What information is the priority for the nurse to give 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.

Accepted Answer

Avoiding alcohol is crucial for a patient on this drug regimen because both isoniazid and rifampin can cause liver toxicity, and alcohol consumption can exacerbate this risk.

Question 4

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 what information?
A)Suggestions regarding proper nutrition and exercise
B)An explanation on how to preserve the patient's sense of autonomy
C)Encouragement for the primary caregiver to take care of themselves
D)Referrals to pulmonary rehabilitation or support groups

Accepted Answer

Preserving the patient's sense of autonomy is crucial for their emotional well-being, as it helps maintain their dignity and independence, which is especially important for patients with chronic conditions.

Question 5

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.

Accepted Answer

The answer of To minimize an older adult's risk for...

Question 6

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

Accepted Answer

The priority assessments for evaluating the effectiveness of self-management of asthma in an older patient are monitoring the frequency of rescue inhaler use and identifying how well the patient avoids triggers. These two factors are indicative of how well the patient is managing their asthma symptoms and can guide the nurse in adjusting the patient's self-care plan. While respiratory infections, need for rest periods, and social support are important considerations, they are not as critical in evaluating the effectiveness of self-management.

Question 7

Because the older adult is not as likely to exhibit the typical signs of ineffective gas exchange,the nurse would assess which patient further?
A)An afebrile patient with a nonproductive cough
B)Irritability in a usually pleasant patient
C)Pale nail beds in a patient of color
D)Has an elevated white blood cell (WBC)

Accepted Answer

Irritability in a usually pleasant patient may be a sign of inadequate oxygenation and may warrant further assessment for ineffective gas exchange in the older adult, even in the absence of typical signs such as shortness of breath or cyanosis. The other options do not necessarily indicate ineffective gas exchange in an older adult.

Question 8

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

Accepted Answer

The answer of The nurse encouraging an older patient to...

Question 9

A frail,older patient is in the emergency department 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.

Accepted Answer

The patient's repeated hospitalizations for the same issue and severe respiratory distress indicate a potential end-of-life situation. It is important for the nurse to determine the patient's end-of-life wishes and discuss any advance directives or palliative care options that may be appropriate. Assessing the family caregiver for compliance with treatment, administering IV fluids at a rapid rate, and preparing to vaccinate the patient against pneumonia may all be important interventions, but they should not take priority over addressing end-of-life care needs.

Question 10

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.

Accepted Answer

CPAP treatment effectiveness depends heavily on patient compliance with using the machine consistently and correctly.

Question 11

The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection with which intervention?
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

Accepted Answer

Evaluating the patient's ability to effectively cough and deep breathe is the best intervention as it helps in expanding the lungs, clearing secretion and facilitates efficient gas exchange which reduces the risk of developing a postsurgical respiratory infection. Walking the patient to the bathroom may not necessarily help prevent respiratory infections. Encouraging compliance with prescribed antibiotic therapy and offering fluids every hour while the patient is awake are also important interventions but may not directly impact respiratory infections.

Question 12

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

Accepted Answer

Symptoms of acute respiratory distress may be indicative of a pulmonary embolism, which can present with substernal chest pain, shortness of breath, and difficulty breathing. Assessing for this condition is a priority as it can be life-threatening if not treated promptly. The other options may still be important to consider in the assessment, but they are not as immediately urgent as ruling out a pulmonary embolism.

Question 13

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."

Accepted Answer

Even though the client already has COPD, quitting smoking can still have benefits such as improving lung function, decreasing the risk of infections, and increasing overall quality of life.

Question 14

An older patient is hospitalized on the general medical floor with pneumonia secondary to influenza and is prescribed antibiotics.What assessment finding would indicate a higher level of care is needed for this patient? A)Spreading infiltrates on chest x-ray B)Creatinine 3.2 mg/dL C)White blood cell count 18,000/mm³ D)Positive sputum cultures for pneumococcus

Accepted Answer

Spreading infiltrates on chest x-ray indicate worsening pneumonia, which may require a higher level of care, such as the intensive care unit (ICU).

Question 15

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

Accepted Answer

The answer of The nurse is coordinating care for a...

Question 16

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

Accepted Answer

The answer of When teaching older adult asthmatic patients,the nurse...

Question 17

An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.Where does the nurse know these changes will manifest?
A)Ineffective cough reflex
B)Shallow breathing
C)Slow respiratory rate
D)Frequent respiratory infections

Accepted Answer

Vital capacity is the maximum amount of air a person can exhale after taking a deep breath, and residual volume is the amount of air left in the lungs after a maximal exhale. With a reduced vital capacity and increased residual volume, the older adult may have difficulty taking deep breaths and fully exhaling, leading to shallow breathing. This can also lead to ineffective coughing, as the person may not be able to generate enough force to clear secretions from the airways. Slow respiratory rate and frequent respiratory infections are not necessarily associated with these changes in pulmonary function.

Question 18

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

Accepted Answer

Bagel and cream cheese is high in carbohydrates and may lead to a buildup of carbon dioxide in the body, which can worsen COPD symptoms. The other options provide protein and fiber, which are important for COPD patients.

Question 19

An 80-year-old patient is concerned about contracting pneumonia.What information is the most important for the nurse to share with the patient?
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 vitamin C

Accepted Answer

Being vaccinated per government guidelines is the most important information to share with an 80-year-old patient concerned about contracting pneumonia as older adults are at higher risk for developing pneumonia and vaccination is an effective preventive measure. Early recognition of symptoms is important, but may not prevent the illness, minimizing contact with the public during the winter months is helpful but unrealistic for many individuals, and there is limited evidence to support the effectiveness of vitamin C in preventing pneumonia.

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."

Accepted Answer

Heparin prevents the clot from getting bigger by preventing new clots from forming. While it does not dissolve the existing clot, it does give the body time to start breaking it down on its own.

Quiz 20: Respiratory Function

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

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

An older adult patient who has tuberculosis is being treated with the drugs isoniazid 300 mg daily,rifampin 600 mg daily,and pyrazinamide 1,500 mg daily.What information is the priority for the nurse to give the patient?

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 what information?

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

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. )

Because the older adult is not as likely to exhibit the typical signs of ineffective gas exchange,the nurse would assess which patient further?

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 frail,older patient is in the emergency department 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?

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

The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection with which intervention?

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

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

An older patient is hospitalized on the general medical floor with pneumonia secondary to influenza and is prescribed antibiotics.What assessment finding would indicate a higher level of care is needed for this patient?

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

An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.Where does the nurse know these changes will manifest?

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

An 80-year-old patient is concerned about contracting pneumonia.What information is the most important for the nurse to share with the patient?

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?