Which statement is not true about cardiopulmonary disease in ...

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Which statement is not true about cardiopulmonary disease in older adults?
 
  a. Falling and apparent confusion on the part of an elder can be signs of heart failure or of pneumonia.
  b. Chest radiographs are a reliable indicator of whether pneumonia is present in an older patient.
  c. Persons older than 65 years should receive Pneumovax once.
  d. Mouth hygiene is essential to the prevention and treatment of pneumonia.

Question 2

An older female adult who has chronic obstructive pulmonary disease (COPD) wants to perform self-care activities. Which instruction should the nurse include in patient teaching to help her achieve the goal?
 
  a. Bathe and eat slowly, with periodic rest.
  b. Walk short distances without oxygen.
  c. Perform all activities of daily living (ADLs) together, and then rest.
  d. Bathe right after eating and then rest.

[owenfalvey]

Answer to Question 1

B

Feedback
A Incorrect. This statement is true. Falling and confusion are potential clinical in-dicators of heart failure, pneumonia, and many other conditions.
B Correct. This statement is not true. For a debilitated person at the beginning of the course of infection or in dehydration, the chest x-ray study is often falsely negative.
C Incorrect. This is a true statement. Pneumovax is a 1-time vaccine against the pneumococcus bacterium.
D Incorrect. This is a true statement. Bacteria from the mouth can migrate into the lower respiratory tract and cause infection.

Answer to Question 2

A

Feedback
A Correct. A person with COPD can perform self-care tasks if allowed plenty of time for them as well as breaks for rest.
B Incorrect. The patient can potentially benefit more from longer periods of exer-cise supplemented with oxygen than from short excursions without oxygen.
C Incorrect. A plan to rest in the future after the job is done does not compensate for deprivation of rest when she needs it.
D Incorrect. A plan to rest in the future after the job is done does not compensate for deprivation of rest when she needs it.

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