Author Question: Age-related pulmonary changes that may affect this patient include a. increased tidal volumes. ... (Read 82 times)

shenderson6 · **on:** Jun 25, 2018

Age-related pulmonary changes that may affect this patient include

a. increased tidal volumes.
b. weakening of intercostal muscles and the diaphragm.
c. improved cough reflex.
d. decreased sensation of the glottis.

Question 2

A 79-year-old patient received a liver transplant 3 days ago

The patient is extubated and hemodynamically stable. His spouse is coming for a visit, and the nurse has some time to discuss immune suppression drug therapy with both of them. The patient is hearing and sight impaired. The spouse brought the patient's hearing aids 2 days ago and will bring the patient's glasses today. Which of the following teaching strategies would be least effective in the ICU setting?

a. Patient education channel
b. Written materials
c. Lecture
d. Discussion

Ptupou85 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Respiratory muscle function is affected by skeletal muscle and peripheral muscle strength. During aging, skeletal muscle progressively atrophies, and its energy metabolism decreases, which may partially explain the declining strength of the respiratory muscles.

Answer to Question 2

C
Lecture is not the strategy of choice for this situation; it does not work well in the ICU. Teaching must be done at the bedside by using as many of the senses as possible. Written material, discussion, demonstration, and use of media are common teaching strategies used in the ICU.