Asthma is often underdiagnosed in older adults because:

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.

Question 2

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 bronchi-tis 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 controver-sial because the causal role of bacterial in-fection is often not clear.
  d. Normal age-related decreases in immune response delay the presentation of classic symptoms.

Question 3

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 re-tired 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 re-tired college professor

Question 4

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 5

A nurse is educating an older adult with diabetes on glucose self-monitoring. When developing the teaching plan, the nurse includes which of the following goals in the teaching plan? The pa-tient will: (Select all that apply.)
 
  a. demonstrate the technique for obtaining a blood sample.
  b. verbalize actions to take when results in-dicate an error on the machine.
  c. state the correct timing of blood glucose monitoring.
  d. state the signs and symptoms of both hy-perglycemia and hypoglycemia.
  e. demonstrate technique for storing and transporting insulin correctly.

Question 6

A nurse works in an outpatient diabetes clinic. The nurse knows that the minimum standard of care for a patient with diabetes includes the following at each visit: (Select all that apply.)
 
  a. Monitoring weight and BP
  b. Inspecting the feet
  c. Obtaining hemoglobin A1C
  d. Reviewing self-management skills
  e. Obtaining fasting lipid profile and serum creatinine