Author Question: The nurse is caring for a frail, elderly client with a persistent, dry cough. Which of the following ... (Read 71 times)

strangeaffliction · **on:** Jul 22, 2018

The nurse is caring for a frail, elderly client with a persistent, dry cough. Which of the following would be the result if this persistent, dry cough is not resolved promptly?

A) Consumes the client's energy
B) Eliminates respiratory secretions
C) Contributes to retention of secretions
D) Influences the production of respiratory secretions

Question 2

A client visits a health care facility with complaints of early awakening after sleep, which leaves him tired and weak. For which of the following lifestyle practices should the nurse assess the client in this case?

A) Alcohol consumption
B) Regular exercise
C) Environmental stimulus
D) Recreational activities

14vl19 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
The nurse should be aware that if not relieved quickly, a persistent, dry cough may consume the elderly client's energy and result in fatigue. Usually, the bases of the older adult's lungs receive less ventilation, contributing to retention of secretions, decreased air exchange, and compromised ventilation. Deep-breathing exercises improve the elderly client's ability to eliminate respiratory secretions. Weather conditions such as high humidity or damp conditions influence the production of respiratory secretions.

Answer to Question 2

A
Feedback:
The nurse should ask the client if he consumes alcohol before bedtime, because alcohol reduces normal REM and deep sleep stages of NREM sleep. As alcohol is metabolized, stimulating chemicals that were blocked by the sedative effects of the alcohol surge forth from neurons, causing early awakening.