A nurse in a long-term care facility is aware of the effects of ...

[NClaborn]

A nurse in a long-term care facility is aware of the effects of age-related changes to the respiratory system. Which of the following functional consequences most likely results from age-related changes?
 
  A) Snoring and mouth breathing
  B) A persistent, dry cough
  C) Increased sensitivity to environmental allergens
  D) Hemoptysis on exertion

Question 2

A nurse plans interventions in a skilled nursing facility to prevent lower respiratory infections. Which of the following nursing interventions should be included in the plan? (Select all that apply.)
 
  A) Encourage annual pneumonia vaccinations.
  B) Encourage annual influenza vaccinations.
  C) Encourage annual chest radiographs to detect tuberculosis.
  D) Encourage influenza vaccinations every 5 years.
  E) Encourage hand hygiene for residents and staff.

[dpost18]

Answer to Question 1

Ans: A
Snoring and mouth breathing often become more prevalent with age. Hemoptysis and a persistent cough are considered pathologic at any age, and allergies do not typically worsen with age.

Answer to Question 2

Ans: B, E
Influenza vaccinations should be given yearly to older adults. The Centers for Disease Control and Prevention (CDC) recommends a one-time booster dose of the pneumonia vaccination for all people 65 years of age or older if they received an initial pneumonia vaccination 5 or more years earlier or were younger than 65 years of age when they first received the pneumonia vaccine. Chest radiographs will not prevent lower respiratory infections. Hand hygiene is essential in prevention of infections.

[NClaborn]

Excellent

[okolip]

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