The nurse caring for mechanically ventilated clients knows that ...

[brutforce]

The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.)
 
  a. Chest wall stiffness
  b. Decreased muscle strength
  c. Inability to cooperate
  d. Less lung elasticity
  e. Poor vision and hearing

Question 2

A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply.)
 
  a. Allow visitors at the client's bedside.
  b. Ensure the client can communicate if awake.
  c. Keep the television tuned to a favorite channel.
  d. Provide back and hand massages when turning.
  e. Turn the client every 2 hours or more.

[nhea]

Answer to Question 1

ANS: A, B, D
Age-related changes that increase the difficulty of weaning older adults from mechanical ventilation include increased stiffness of the chest wall, decreased muscle strength, and less elasticity of lung tissue. Not all older adults have an inability to cooperate or poor sensory acuity.

Answer to Question 2

ANS: A, B, D, E
There are many basic care measures that can be employed for the client who is on a ventilator. Allowing visitation, providing a means of communication, massaging the client's skin, and routinely turning and repositioning the client are some of them. Keeping the TV on will interfere with sleep and rest.