NUR2214 Nursing Care of the Older Adult Exam|
Questions with Correct Verified Answers | Graded A+
Effects of Aging on Respiratory Health - ANSWER - respiratory problems develop easily; difficult
to manage
- changes occur in upper airway paths, nose, and trachea
- reduce cough
- decreased elastic recoil
- alveoli less elastic
- reduction in vital capacity; increase residual volume
- loose or brittle teeth can be aspired
Respiratory Health Promotion - ANSWER - prevention of infection
- vaccines
- avoiding exposure to people with respiratory infections
- deep breathing exercises
- smoking cessation
- immobility major threat
- caution with self-treatment of respiratory issues
- review of medications
- consider environment factors
Ensuring safe Oxygen Administration - ANSWER - use of oxygen and assessment of oxygen
equipment
- home oxygen safety
Promoting Productive Coughing - ANSWER - coughing is important in removal of secretions
,- nonproductive coughing is useless and stressful
Measures to promote productive cough - ANSWER - hard candy to increase secretion
- breathing exercises
- use of humidifier
- expectorants
- increase fluid intake
Complementary Therapies - ANSWER - aromatherapy
- hot, spicy foods open airways
- some vitamins beneficial
- acupuncture
Chronic Bronchitis - ANSWER a form of bronchitis characterized by excess production of sputum
leading to a chronic cough and obstruction of air flow
Emphysema - ANSWER an abnormal condition of the lungs marked by decreased respiratory
function
Pneumonia - ANSWER - one of the leading causes of death in older adults
- pneumococcal vaccine
Signs and symptoms of pneumonia - ANSWER - close observation for subtle changes
- complications
Influenza - ANSWER - type subtypes A&B
- age-related changes leading to high susceptibility
,- annual influenza vaccination
risk factors of influenza - ANSWER - Age > 50yo
- Residence in nursing home/chronic care facility
- Chronic pulmonary disease (Asthma, COPD)
- Chronic CVS disease
- Chronic metabolic disease, renal dysfunction, heoglobinopathy
- Immunosuppresion
- Long-term aspirin therapy (6mo-18yrs)
- 2-3rd trimester pregnancy
signs of influenza in older adults - ANSWER Sudden, acute onset of fever, marked fatigue and
aching pains, tiredness and fatigue (can last two or three weeks)
extreme exhaustion (usual at the start of flu symptoms)
general aches and pain (often severe)
chest discomfort, cough (common and can become severe)
sore throat (sometimes)
runny or stuffy nose (sometimes)
Tuberculosis Signs and Symptoms - ANSWER Early sign= slight cough with expectoration of
mucus, fever, night sweats
Late sign= bloody productive cough, chest pain, dyspnea, weight loss
Tuberculosis treatment - ANSWER Treatment: Isoniazid, Pyrazinamide, Rifampin, Rifapentine
Assess to detect respiratory complications - ANSWER - respiratory rate
- pulse rate
, - blood pressure
- patency of airway
- cough and secretions
- mental status
General nursing considerations for respiratory conditions - ANSWER - atypical presentation (no
chest pain, lower body temp)
- changes in character of sputum
- prompt medical attention with signs of respiratory infection
cardiovascular health - ANSWER - hypertension
- hypotension
- CHF
- CAG
Arrhythmia - ANSWER an abnormal rate of muscle contractions in the heart
Atherosclerosis - ANSWER condition in which fatty deposits called plaque build up on the inner
walls of the arteries
Homan's sign - ANSWER an indicator of deep vein thrombosis. The sign is present where pain in
the calf is produced by passive dorsiflexion of the foot
Hypertension - ANSWER a common disorder in which blood pressure remains abnormally high
(a reading of 140/90 mm Hg or greater)
Questions with Correct Verified Answers | Graded A+
Effects of Aging on Respiratory Health - ANSWER - respiratory problems develop easily; difficult
to manage
- changes occur in upper airway paths, nose, and trachea
- reduce cough
- decreased elastic recoil
- alveoli less elastic
- reduction in vital capacity; increase residual volume
- loose or brittle teeth can be aspired
Respiratory Health Promotion - ANSWER - prevention of infection
- vaccines
- avoiding exposure to people with respiratory infections
- deep breathing exercises
- smoking cessation
- immobility major threat
- caution with self-treatment of respiratory issues
- review of medications
- consider environment factors
Ensuring safe Oxygen Administration - ANSWER - use of oxygen and assessment of oxygen
equipment
- home oxygen safety
Promoting Productive Coughing - ANSWER - coughing is important in removal of secretions
,- nonproductive coughing is useless and stressful
Measures to promote productive cough - ANSWER - hard candy to increase secretion
- breathing exercises
- use of humidifier
- expectorants
- increase fluid intake
Complementary Therapies - ANSWER - aromatherapy
- hot, spicy foods open airways
- some vitamins beneficial
- acupuncture
Chronic Bronchitis - ANSWER a form of bronchitis characterized by excess production of sputum
leading to a chronic cough and obstruction of air flow
Emphysema - ANSWER an abnormal condition of the lungs marked by decreased respiratory
function
Pneumonia - ANSWER - one of the leading causes of death in older adults
- pneumococcal vaccine
Signs and symptoms of pneumonia - ANSWER - close observation for subtle changes
- complications
Influenza - ANSWER - type subtypes A&B
- age-related changes leading to high susceptibility
,- annual influenza vaccination
risk factors of influenza - ANSWER - Age > 50yo
- Residence in nursing home/chronic care facility
- Chronic pulmonary disease (Asthma, COPD)
- Chronic CVS disease
- Chronic metabolic disease, renal dysfunction, heoglobinopathy
- Immunosuppresion
- Long-term aspirin therapy (6mo-18yrs)
- 2-3rd trimester pregnancy
signs of influenza in older adults - ANSWER Sudden, acute onset of fever, marked fatigue and
aching pains, tiredness and fatigue (can last two or three weeks)
extreme exhaustion (usual at the start of flu symptoms)
general aches and pain (often severe)
chest discomfort, cough (common and can become severe)
sore throat (sometimes)
runny or stuffy nose (sometimes)
Tuberculosis Signs and Symptoms - ANSWER Early sign= slight cough with expectoration of
mucus, fever, night sweats
Late sign= bloody productive cough, chest pain, dyspnea, weight loss
Tuberculosis treatment - ANSWER Treatment: Isoniazid, Pyrazinamide, Rifampin, Rifapentine
Assess to detect respiratory complications - ANSWER - respiratory rate
- pulse rate
, - blood pressure
- patency of airway
- cough and secretions
- mental status
General nursing considerations for respiratory conditions - ANSWER - atypical presentation (no
chest pain, lower body temp)
- changes in character of sputum
- prompt medical attention with signs of respiratory infection
cardiovascular health - ANSWER - hypertension
- hypotension
- CHF
- CAG
Arrhythmia - ANSWER an abnormal rate of muscle contractions in the heart
Atherosclerosis - ANSWER condition in which fatty deposits called plaque build up on the inner
walls of the arteries
Homan's sign - ANSWER an indicator of deep vein thrombosis. The sign is present where pain in
the calf is produced by passive dorsiflexion of the foot
Hypertension - ANSWER a common disorder in which blood pressure remains abnormally high
(a reading of 140/90 mm Hg or greater)
