Deck 25: Respiratory Health and Illness

Question 1

A nurse is involved in primary prevention activities related to the promotion of respiratory health. The nurse is involved in which of the following activities? (Select all that apply.)

A) Organizing an influenza vaccination clinic
B) Promoting a smoking cessation program in the community
C) Referring individuals with respiratory disease to the pulmonology clinic at the hospital
D) Visiting a congressman representative to advocate for legislation on clean air
E) Teaching individuals with COPD measures to maximize lung function

Answer 1

Organizing an influenza vaccination clinic
Promoting a smoking cessation program in the community
Visiting a congressman representative to advocate for legislation on clean air

Question 2

A nurse is assessing an older adult's respiratory status. Which of the following are normal age-related changes in the respiratory system? (Select all that apply.)

A) Diminished cough reflex
B) Stiffening of the chest wall
C) Increased resistance to airflow
D) Decreased respiratory rate
E) Loss of elastic recoil

Answer 2

Diminished cough reflex
Stiffening of the chest wall
Increased resistance to airflow
Loss of elastic recoil

Question 3

The daughter of an older patient with chronic bronchitis says to the nurse, "I don't understand why my father has not been prescribed antibiotics for his bronchitis. The last time I had bronchitis I got antibiotics." The nurse considers the following when formulating a response:

A) Antibiotics tend to be less effective in older adults than in younger adults.
B) Antibiotics are not prescribed in chronic bronchitis since the cause is usually not bacterial.
C) The routine use of antibiotics is controversial because the causal role of bacterial infection is often not clear.
D) Normal age-related decreases in immune response delay the presentation of classic symptoms.

Answer 3

The routine use of antibiotics is controversial because the causal role of bacterial infection is often not clear.

Question 4

A nurse is planning education for a group of older adults at a senior center on promoting respiratory health. Which of the following should the nurse include in the education? (Select all that apply.)

A) Annual influenza immunization
B) Pneumococcal pneumonia immunization
C) Smoking cessation
D) Weight reduction
E) Benefits of low-sodium low-fat diets

Question 5

A nurse is organizing a support group for older individuals with COPD in the community. The nurse knows that which of the following individuals is most likely to have COPD?

A) A 75-year-old Hispanic male who is a retired truck driver and never smoked
B) A 72-year-old non-Hispanic white female who never worked outside of the home and is a former smoker
C) A 67-year-old African American male who is a retired physician
D) A 70-year-old Asian woman who is a retired college professor

Question 6

A nurse practitioner is caring for a 90-year-old adult with asthma who has comorbid dementia and severe osteoarthritis in the hands. The nurse practitioner considers inhaled medications to manage the asthma. Which of the following factors should the nurse take into consideration when developing the medication plan for this patient? (Select all that apply.)

A) The patient's ability to swallow safely
B) The patient's manual dexterity
C) The patient's age
D) The patient's cognitive status
E) The patient's mobility status

Question 7

The most significant etiology for chronic obstructive pulmonary disease (COPD) is:

A) tobacco use.
B) chronic bronchitis.
C) exposure to carcinogens in the workplace.
D) emphysema.

Question 8

A nurse assesses an older patient's blood gases. The patient is 70 years old. The nurse knows that this patient's maximum PO₂ is:

A) 69.
B) 79.
C) 89.
D) 99.

Question 9

The nurse is preparing discharge teaching for a client diagnosed with chronic obstructive pulmonary disease (COPD). Which nursing statement would be included in this intervention? (Select all that apply.)

A) "Are you familiar with pursed-lip breathing?"
B) "It will be necessary to demonstrate postural drainage techniques with a caregiver."
C) "We will need to discuss alterations in your diet."
D) "Can you explain the purpose of the medications you have been prescribed?"
E) "There are some things I'd like to discuss about adaptive sexual practices."

Question 10

Asthma is often underdiagnosed in older adults because:

A) older adults frequently do not have any of the classic signs and symptoms.
B) symptoms of asthma are often attributed to normal age-related changes.
C) asthma is very uncommon in older adults.
D) asthma symptoms are usually very mild in older adults.