The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

incomplete expirations.

decreased oxygen saturation

impaired cilia

increased elasticity in thorax and respiratory tissues

Answer and Explanation

Correct Answer : A

A. Incomplete expirations: Age-related decreased lung elasticity impairs full expiration, trapping air in the lungs.
B. Decreased oxygen saturation: Age-related changes in lung tissue reduce gas exchange efficiency.
C. Impaired cilia: Decreased ciliary function reduces the ability to clear mucus and pathogens from the airway.
D. Increased elasticity in thorax and respiratory tissues: Elasticity decreases with aging, reducing lung compliance.

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Correct Answer is C

Explanation

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

A. Loop the client's tubes carefully to prevent kinking. B. Clamp the tube when the client is ambulating. C. Place the client flat to avoid leaks in the tubing. D. Keep the collection device below the client's chest level.

Correct Answer is D

Explanation

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

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The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

What is the most common cause of airway obstruction in the unconscious person?

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should: