A nurse plans care for a frail older adult in long-term care. Which of the following interventions should be included in the plan of care to reduce the risk of respiratory infections?
A) Oral care
B) Oxygen administration
C) Pulmonary function testing
D) Tracheal suctioning
Question 2A nurse is teaching health interventions to an older adult with osteoarthritis. Which of these statements indicates that the individual needs additional teaching?
A) I will avoid high-impact exercises.
B) I will get adequate intake of calcium and vitamin D.
C) I will try to limit my use of walkers and assistive devices.
D) I will lose weight if it turns out that I need to.
Question 3A nurse interviews an older adult with pulmonary disease. The client states, I worked hard all my life in the shipyard, I provided for my family. I never smoked, why did I get this disease? Which response by the nurse is best?
A) It is a good thing that you never smoked.
B) Pulmonary disease can happen to anyone.
C) The work in the shipyard put you at risk.
D) You feel like you are being punished
Question 4A nurse assesses older adults at a pulmonary clinic. Which of the following questions might best assist identify those at risk for pulmonary disorders?
A) Do any of your children smoke?
B) In what state did you grow up?
C) What type of job did you have?
D) Where do you exercise?
Question 5A nurse discusses common illnesses at the local health fair. The older adult asks, Why do all my friends seem to get pneumonia? We never did when we were younger. Which of the following interventions should the nurse include in the teaching?
A) Examinations by health care provider
B) Hand hygiene
C) Jogging/running
D) Yearly pneumovax
Question 6A 72-year-old man's diagnostic testing and physical examination have resulted in a diagnosis of COPD. Which symptomatology is unexpected and will require follow-up? (Select all that apply.)
A) Hemoptysis and orthostatic hypotension
B) Chest pain and shortness of breath
C) Cough and dyspnea
D) Apneic spells and fatigue
E) Wheezing and clubbing
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