Author Question: A nurse discusses common illnesses at the local health fair. The older adult asks, Why do all my ... (Read 50 times)

swpotter12 · **on:** Jul 11, 2018

A nurse discusses common illnesses at the local health fair. The older adult asks, Why do all my friends seem to get pneumonia? We never did when we were younger. Which of the following interventions should the nurse include in the teaching?

A) Examinations by health care provider
B) Hand hygiene
C) Jogging/running
D) Yearly pneumovax

Question 2

A 72-year-old man's diagnostic testing and physical examination have resulted in a diagnosis of COPD. Which symptomatology is unexpected and will require follow-up? (Select all that apply.)

A) Hemoptysis and orthostatic hypotension
B) Chest pain and shortness of breath
C) Cough and dyspnea
D) Apneic spells and fatigue
E) Wheezing and clubbing

cam1229 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Age-related alterations of the immune functions are a major contributing factor in the prevalence of lung diseases among older adults. Examinations are helpful in early identification of some lung diseases but not preventative regarding communicable diseases such as pneumonia. Pneumovax is not required yearly.

Answer to Question 2

Ans: C, D
The most common manifestations of COPD are cough, dyspnea, wheezing, and increased sputum production. Hemoptysis and orthostatic hypotension are unexpected and require follow-up, as do apneic spells and fatigue. Chest pain and shortness of breath signal cardiac dysfunction and require immediate attention.