WK 4 PREP U-topic 9 - Resp & Circulation

During a respiratory health promotion interview, an older client asks if it is important to have a dental examination after age 65. Which of the following is the most accurate response?

Infections of the oral cavity can lead to respiratory infections.

An older client resists getting out of bed to walk after experiencing a myocardial infarction. What should the nurse explain to this client about activity?

It prevents any problems caused by lack of activity.

The nurse is conducting a high-risk respiratory infection interview with an older client. Which of the following questions would be included in the interview? Select all that apply.

-Have you had an influenza vaccine ? -Have you had a pneumonia vaccine? -Do you do breathing exercises? -Do u avoid exposure to others w/ resp infections?

During a health promotion visit, the nurse should include which of the following guidelines when teaching an older client about dietary guidelines for reducing the risk of cardiovascular disease? Select all that apply.

-Reduce intake of fried foods -Increase intake of complex CHO & fiber -Use monounsaturated oils when poss -Reduce intake of sugar

Which statements demonstrate that the client has received effective education concerning promotion of healthy cardiovasc function? Select all that apply.

-Walking is a part of my daily routine. -I rarely eat fried foods. -I've haven't smoke a cig in 6 mos -I've lost 10 lb (4.5 kg) and have 5 lb (2.25 kg) more to go.

The nurse instructs an older client on breathing exercises. What should the nurse explain as being the ratio of inhalation to exhalation when performing these exercises?

1:3

Which client is at an increased risk for developing respiratory inefficiency as a result of kyphosis?

73 year old retired teacher

The nurse is performing smoking cessation with an older adult client who has smoked two packs per day of cigarettes since the client's late teens. The client responds, "At this point in my life, I think it's probably too late to quit." How should the nurse best respond to the client's statement?

Actually, u'll start to enjoy some health benefits almost as soon as u quit

An older adult client states that many of her peers have hypertension. When explaining this phenomenon, what should the nurse describe?

Age-associated vasoconstriction

A nurse identifies clients who are at risk for modifiable risk factors for cardiovascular disease. Which client should the nurse prioritize as having modifiable cardiovascular functional consequences?

An older adult client who is obese who has type 2 diabetes

The nurse educator is teaching a class to nursing staff about the effects of aging on respiration. Which of the following is most important to include in the lesson plan?

Loss of skeletal muscle causes kyphosis & reduction in vital capacity.

The nurse notes that an older client is experiencing shortness in breath while lying supine. Which action should the nurse perform first?

Raise the head of the bed 30 degrees

Which nursing diagnosis is most important to include in the plan of care for a 79-year-old client diagnosed with decreased coronary blood flow?

Risk for decreased cardiac tissue perfusion

Which risk factor is most important to include in the plan of care for an 82-year-old client with a reduced proportion of oxygen extracted from the arterial blood by tissues?

Risk of decreased tissue perfusion

A 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?

Tell me more about ur work in the shipyard.

The nurses who provide care in a long-term care setting are aware of the high prevalence and risks of cardiovascular disease among the older adults who live at the facility. Which measure is most likely to prevent heart disease among older adults?

establishing an exercise program

During an assessment the nurse feels vibrations when palpating an older client's chest. How should the nurse document this finding?

fremitus

While ambulating, a client with COPD becomes confused. What should the nurse do first?

have the client sit down

During a clinic visit, a 72-year-old client tells the nurse that she has inadequate circulation and cannot tolerate walking more than five steps without getting a feeling of heavy, weak legs. The nurses should assess further for what nsg dx?

Activity intolerance related to increased resistance of peripheral vessels

During a health promotion visit, a 75-year-old client tells the nurse that she has been diagnosed with peripheral vascular disease. Which nursing diagnosis best describes the client condition?

Ineffective peripheral tissue perfusion

The nurse is teaching an older adult client about the effects of aging on respiration. Which of the following is important to include for this client population?

During aging, there's less air exchange and more air and secretions left in the lungs.

A nurse who works on a geriatric long-term care unit is aware that many of the older adult clients on the unit have a documented history of orthostatic hypotension. What measure should the nurse prioritize in order to ensure the safety of such clients?

Have clients sit on edge of their beds for a minute or two before ambulating

A nurse assesses an older adult's overall respiratory function. Which interview question would be most appropriate?

Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?

A nurse assesses an older adult for dietary habits. Which statement by the client should the nurse identify as a positive dietary habit for cardiovascular functioning?

I avoid meat and eat nuts instead.

When educating a client on metabolic syndrome and the risk it poses to the cardiovascular system, the nurse will stress the importance of striving for what clinical result?

Triglyceride level below 150 mg/dL (1.69 mmol/L)

A community health nurse is to create initiatives to foster the health of older adults in the community. Which health promotion activity has the greatest potential to promote the respiratory health of older adult participants?

a smoking cessation program

The nurse suspects that an older client has undiagnosed cardiovascular problem. Which finding caused the nurse to come to this clinical decision?

absence of leg hair

A community nurse develops wellness outcomes for those at highest risk for poor management of cardiovascular disease. Which population should the nurse target?

african american woman

After reviewing an older client's medical record the nurse realizes that the annual influenza vaccination is contraindicated. What information did the nurse use to make this clinical determination?

allergic to eggs

Which individual is likely at the highest risk for orthostatic hypotension?

an 80 yr-old client who strains to void when using the bedside commode

The nurse suspects that an older client is experiencing alteration in tissue perfusion. What assessment finding caused the nurse to make this clinical decision?

ankle edema

The nurse identifies Fluid Volume Deficit as a diagnosis as a guide for planning an older client's care. What assessment finding caused the nurse to make this decision?

ascites

A client taking warfarin received an influenza vaccination. For what should the nurse monitor this client over next 1-4 wks?

bleeding

An older client is diagnosed with asthma. What should the nurse include when assessing this client?

blood pressure

During an assessment of the head and neck the nurse suspects that an older client has emphysema. What finding caused the nurse to make this clinical determination?

bluish cast around the lips

The nurse suspects that an older client is not receiving full benefit of prescribed oxygen tx being delivered via nasal cannula. Which observation caused nurse to question the effectiveness of this therapy?

client is a mouth breather

An older client experiences an exacerbation of COPD. What should the nurse expect when assessing this client?

cough

During a home visit the nurse suspects that an older client is experiencing congestive heart failure. What did the nurse assess in this client?

dyspnea on exertion

An older client with asthma asks what nonpharmacological actions to use to loosen airway passages. What should the nurse recommend to this client?

eat a meal with garlic or peppers

An older client is diagnosed with an elevated cholesterol level. Which food item should the nurse instruct the client to limit to help reduce body lipid levels?

egg yolks

The nurse notes that an older client with a lung abscess has voluminous amounts of sputum. What type of diet should the nurse recommend to maintain this client's nutritional status?

high protein, high calorie

The nurse plans an education program for older community members. Which cardiovascular topic should be nurse include in this program?

hypertension

The nurse assesses a 90-year-old client who has chronic obstructive pulmonary disease. The nurse should include which of the following in the client care plan?

infection prevention measures

An RN completes an assessment of an older adult. Which physical assessment finding is WNL?

kyphosis and increased anteroposterior diameter of the chest

An older client is experiencing purulent foul-smelling sputum. For which health problem should the nurse plan care for this client?

lung abscess

The nurse notes that an older client has several broken teeth. What is this client at risk for developing?

lung abscess

An older adult admitted to the emergency department exhibits dyspnea and a sudden change in level of consciousness. The nurse should assess first for which disorder?

myocardial infarction

The nurse instructs an older client on dietary changes to reduce the risk of cardiovascular disease. Which client statement indicates that teaching has been effective?

olive oil is good for me to use

A nurse plans care for a frail older adult in long-term care. Which intervention should be included in the plan of care to reduce the risk of respiratory infections?

oral care

An older adult client is brought to the emergency department from home with a sudden change in mental status accompanied by significant weakness. For which condition should the health care providers assess?

pneumonia

An older client's apical pulse is 120 beats per minute after completing physical therapy exercises. What action should the nurse take?

reassess in 2 hrs

An older client with heart failure is upset because the nursing staff turns and repositions the client every 2 hours. Why is this intervention a part of the client's plan of care?

reduces skin breakdown

An older client is diagnosed with pneumonia. What assessment finding indicates that the client is experiencing cerebral hypoxia?

restlessness

An 85-year-old client broke two teeth after hitting them on the siderail of her bed. The nurse has confirmed that she is not bleeding. Which of the following would be most crucial for the nurse to assess next?

s/s of respiratory compromise

An older client with emphysema experiences activity intolerance. Which intervention should the nurse add to this client's plan of care?

schedule rest periods /b/ activities

The nurse prepares to instruct a client on abdominal breathing. What should the nurse have available before beginning these instructions?

small pillow

Which is the most important remediable risk factor for cardiovascular disease in older adults?

smoking

An older client with cardiovascular disease experiences vagal episodes. What should the nurse suggest to reduce these episodes from occurring in the future?

stool softener

The nurse suspects that an older client's blood pressure will be within normal limits. What information from the medical record did the nurse use to come to this conclusion?

takes garlic pills every day

The nurse conducts a physical assessment of an older client with a cardiovascular health problem. Which finding should the nurse expect to assess in this client?

thick dry nails

An older client with congestive heart failure has lower extremity and sacral edema. Which intervention should the nurse add to this client's plan of care to protect tissue integrity?

turn and reposition q 2H

The nurse plans care for an older client with asthma. What should be included to help ensure a clear airway?

turn, deep breathe, and cough q 2 hrs

The nurse is educating a 73-year-old client about nutritional supplements for cardiovascular arterial health. Which is the most important supplement to include in the teaching plan?

vitamin C

An older adult client recently experienced a syncopal (fainting) episode after standing up quickly while gardening. Which assessment is the nurse's priority?

what medications do you take?