A gerontological nurse teaches a new nurse about older adults and ...

[mikaylakyoung]

A gerontological nurse teaches a new nurse about older adults and pneumonia. Which of the following teaching points for the new nurse is most accurate?
 
  A) The presence or absence of pleuritic pain can help differentiate between pneumonia and cardiac problems..
  B) Pneumococcal vaccine can significantly reduce the length and severity of pneumonia if given shortly after diagnosis..
  C) The cardinal signs of a new onset of pneumonia are chest pain, fever above 100F, and a productive cough..
  D) Pneumonia can often be prevented, but numerous age-related factors conspire to make older adults susceptible to it..

Question 2

A patient, age 71, has benign prostatic hypertrophy. He is recovering from a transurethral prostatic resection. The physician orders removal of the indwelling catheter 2 days after the TURP procedure.
 
  The patient should be instructed that at first he might experience a. an intolerance to acidic fluids.
  b. normal voiding patterns.
  c. dribbling of urine.
  d. no urine output for 6-8 hours.

[johnpizzaz]

Answer to Question 1

D
Feedback:
Several age-related factors are responsible for pneumonia. The presence or absence of pleuritic pain is not a reliable diagnostic indicator, as signs and symptoms may be atypical; fever, cough, and chest pain may be absent. Pneumococcal vaccination is a preventative measure rather than a treatment.

Answer to Question 2

C
The patient is informed that initially he may experience frequency and voiding small amounts with some dribbling.