An older patient is prescribed an inhaled corticosteroid as part of treatment for asthma. What will the nurse instruct the patient about the use of this medication? Standard Text: Select all that apply.
1. It can cause oral thrush or candidiasis.
2. Use a spacer when taking this medication.
3. It has no effect on any other health problems.
4. Rinse the mouth and spit after using this medication.
5. It is the most effective anti-inflammatory treatment for asthma.
Question 2What will the nurse keep in mind when planning care for an older patient diagnosed with asthma?
1. Asthma is not diagnosed as a new condition in older patients.
2. Asthma is treated with the same types of medications in older patients as in younger patients.
3. Older patients will have fewer side effects and drug interactions from asthma medications than younger patients.
4. Asthma can be differentiated from chronic obstructive pulmonary disease (COPD) by changes seen on a series of chest x-rays.
Question 3An 82-year-old client reports to the ambulatory care clinic with complaints relating to distortions in hearing acuity. The assessment reveals an accumulation of cerumen in both ears. The nurse assists the physician to remove the cerumen.
As the nurse provides discharge instructions, the client asks about methods to remove the cerumen at home next time. What information should be provided to the client?
A) The use of a cotton-tipped swab daily will be beneficial in preventing the buildup of cerumen.
B) The client should use a bulb syringe to instill 15 cc of rubbing alcohol into the ear canal to remove cerumen weekly.
C) The client should be encouraged to invest in a curette to remove the cerumen at home.
D) The client should be advised to seek medical assistance to remove the cerumen when buildup is noted.
Question 4An older patient who is having difficulty breathing and is wheezing is scheduled for a test to differentiate the health problem as being asthma or chronic obstructive pulmonary disease (COPD).
For which diagnostic test should the nurse prepare the patient? 1. Chest x-ray
2. Electrocardiogram
3. Complete blood count
4. Pulmonary function tests
Question 5An older client recently reported a significant loss of hearing after being involved in an explosion. He has
voiced questions about the sensory loss. Which of the following responses by the nurse is most appropriate at this time?
A) The most common cause of hearing impairments is the result of exposure to loud noises.
B) Hearing loss attributed to loud noises is normally reversible.
C) Loud noises can cause immediate, permanent losses of hearing.
D) Surgery will help restore the hearing you have lost.
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