Chapter 21- Respiratory Function Questions {Answered Correctly! }

Origin: Chapter 21- Respiratory Function, 1 1.A nurse assesses an older adult's overall respiratory function. Which of the following interview questions would be most appropriate? A) "Would you be interested in finding out more about environmental smoke?" B) "Did either of your parents experience lung diseases?" C) "Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?" D) "What do you do to actively maintain your respiratory health?" Ans: C Feedback: The effects of air pollution are cumulative over many years. Thus, there is an increased impact on older adults over their lifetimes. Hazards in the workplace were unregulated before 1970. Therefore, there are older adults who have experienced cumulative and long-term effects from toxic substances. Origin: Chapter 21- Respiratory Function, 2 2.A 65-year-old client with a long-standing history of chronic obstructive pulmonary disease (COPD) was placed recently on Coumadin after experiencing atrial fibrillation. Upon discharge from the hospital, which of the following statements by the client indicates a need for further teaching? A) "I will continue to use smokeless tobacco since it's a lot better than smoking." B) "I will avoid using over-the-counter antihistamines since they can dry my mucosal secretions." C) "I will watch my intake of dark green leafy vegetables since they may impact the effects of Coumadin." D) "I will not take any herbal preparations without my health care provider's knowledge." Ans: A Feedback: Smokeless tobacco is associated with mouth cancer, gingivitis, and tooth loss and may be carcinogenic to the pancreas. The other noted actions are appropriate to the maintenance of health. Origin: Chapter 21- Respiratory Function, 3 3.A 70-year-old client smoked for 30 years and has a history of COPD. The spouse assists with cooking, cleaning, and transportation. The spouse has become ill, and they now receive assistance from a home health nurse. Which of the following interventions should be the priority? A) Assisting the clients to perform instrumental activities of daily living (IADLs) B) Determining a plan for providing meals C) Setting up medications for the clients D) Smoking cessation plan