Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 19- Respiration
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes? | |
| A) | Posture is slightly kyphotic | |
| B) | Slight wheeze on exhalation | |
| C) | Uses accessory muscles on expiration | |
| D) | Mucous membranes drier than younger clients’ | |
| Ans: | B | |
| Feedback: | ||
| While some use of accessory muscles, kyphosis, and drying of mucous membranes occur as part of the aging process, a wheeze would not be considered a normal, age-related change and could indicate a pathological process. | ||
| Origin: Chapter 19- Respiration, 2
Chapter: 19 Client Needs: B Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 253, Respiratory Health Promotion |
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| 2. | The nurse is facilitating a health promotion class at a senior center. Which statement made by a participant should be corrected by the nurse? | |
| A) | “My wife and I both get our flu shots each fall.” | |
| B) | “I’m vigilant about staying away from anyone who has a cold or flu.” | |
| C) | “I use a puffer regularly to prevent any problems with my breathing in the future.” | |
| D) | “I’ve found that doing deep breathing exercises helps relax me and expand my lungs.” | |
| Ans: | C | |
| Feedback: | ||
| Older persons should be advised against treating respiratory problems themselves. Many over-the-counter cold and cough remedies can have serious effects in older adults and can interact with other medications being taken. These drugs also can mask symptoms of serious problems, thereby delaying diagnosis and treatment. Older adults should know that a cold lasting more than 1 week may not be a cold at all, but something more serious that requires medical attention. Getting influenza and pneumonia vaccinations as well as performing deep breathing exercises are valid health promotion activities. Avoiding others with a cold or the flu is a good disease prevention strategy and should be reinforced by the nurse. | ||
| Origin: Chapter 19- Respiration, 3
Chapter: 19 Client Needs: B Cognitive Level: Application Difficulty: Easy Integrated Process: Teaching/learning Objective: 2 Page and Header: 253, Respiratory Health Promotion |
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| 3. | An older patient who smokes half a pack of cigarettes daily and is diagnosed with COPD expresses regret about starting smoking over 50 years ago at a time when it was considered both fashionable and harmless. What can the nurse respond to this patient? | |
| A) | “Even though you have smoked for a long time, there are still benefits to quitting smoking.” | |
| B) | “If you continue to smoke, any medical treatment for your COPD is likely to be ineffective.” | |
| C) | “Unfortunately the damage is now done and quitting smoking will likely have little effect on your future health.” | |
| D) | “Even though it won’t affect the course of your COPD, quitting smoking would probably make you feel better about yourself.” | |
| Ans: | A | |
| Feedback: | ||
| There are health benefits to quitting smoking at any stage and doing so would likely aid in the treatment of the patient’s COPD. Continuing to smoke, while detrimental, would not necessarily render all medical treatments for COPD ineffective. Quitting smoking could stop the progression of the patient’s disease. | ||
| Origin: Chapter 19- Respiration, 4
Chapter: 19 Client Needs: D4 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 3 Page and Header: 257, Asthma |
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| 4. | Which older patient would the nurse suspect is displaying the effects associated with overusing bronchodilating nebulizers? | |
| A) | A patient with acute delirium | |
| B) | A patient with complaints of chest pain | |
| C) | A patient with shortness of breath on exertion | |
| D) | A patient with a new onset of a cardiac arrhythmia | |
| Ans: | D | |
| Feedback: | ||
| Overuse of sympathomimetic bronchodilating nebulizers creates a risk of cardiac arrhythmias leading to sudden death. Chest pain, delirium, and shortness of breath are not noted to be markers of their overuse. | ||
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