An elderly patient asks the nurse how she "got" pneumonia when she didn't even have a cold. Which of the following would be the best response for this patient?
1. You really did have an infection but didn't know it.
2. The risk for lung infections increases as a person ages because of lung changes and less mucous in the lungs.
3. Pneumonia is fluid in the lungs so something must have occurred for fluid to get there.
4. Pneumonia can happen to anyone at any time. There is nothing that can be done to prevent it.
2
Rationale: As a person ages, there is a loss of epithelial cells which results in a decrease in protective mucus. This leads to an increased risk for infections. This is what the nurse should respond to the patient with. The nurse has no way of knowing if the patient had a lung infection and didn't know it. Pneumonia can be caused by fluid in the lungs but the nurse should not tell the patient that that is what caused the pneumonia. The nurse should also not tell the patient that pneumonia can happen to anyone at any time and that there is nothing that can be done to prevent it. There are pneumonia vaccinations available to help reduce the incidence of pneumonia in the elderly.
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